The Use of Cold Therapy, Music Therapy and Lidocaine Spray for Reducing Pain and Anxiety Following Chest Tube Removal


Complementary Therapies in Clinical Practice




AIM: To determine the effect of cold therapy, music therapy and lidocaine spray on pain and anxiety following chest tube removal (CTR). METHODS: This study was a randomized clinical trial. The participants were randomly assigned either one of four groups: control group, cold therapy, music therapy, and lidocaine spray. The primary outcome of the study was to measure pain using Visual Analog Scale. Anxiety was used as secondary outcome. RESULTS: Thirty patients in each arm completed the study. There was no difference in pain scores between groups immediately after and 20min after CTR (F=2.06, p=0.108). However, there was a significant difference between the anxiety scores of control and intervention groups 20min after CTR (p<0.05). CONCLUSIONS: Cold therapy reduced anxiety levels after the procedure. A multimodal approaches, such as the administration of pharmacologic agents in conjunction with non-pharmacological interventions including cold therapy may also be suggested.

Music and Health Institute Terms

Anxiety Scales; Anxiety; Hospital Setting; Hospitalized Patients; Invasive Medical Procedures; Music Listening; Music Medicine; Pain Management and Control; Pain Score or Rating; Pain; Procedural Pain; Recorded Music Listening; Self-Report Measures; Visual Analog Scale (VAS)

Indexed Terms

Chest Tubes; Cryotherapy; Device Removal; Lidocaine; Pain; Pain Management; Anxiety; Chest tube; Cold therapy; Lidocaine spray; Pain

Study Type

Randomized Controlled Trial; Quantitative Methods

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Document Type