@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(3):223-227
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(3):223-227
Effects of Lavender Inhalant on the Pain during Endotracheal Suctioning in Intensive Care Unit Patients
ARTICLE INFO
Article Type
Original ResearchAuthors
Taheri Rezgh Abadi M. (1)Mohammadpour A. (2)
Sajjadi M. (* )
(* ) Nursing Department, Nursing & Midwifery Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
(1) Student Research Committee , Gonabad University of Medical Sciences, Gonabad, Iran
(2) Nursing Department, Nursing & Midwifery Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Address: Gonabad University of Medical Sciences, Near Asian Road, Gonabad, IranPhone: +98 (51) 57223028
Fax: +98 (51) 57223814
sajjadi1975@gmail.com
Article History
Received: February 13, 2017Accepted: June 10, 2017
ePublished: July 22, 2017
ABSTRACT
Aims
Patients undergoing artificial ventilation require tracheal tube suction because of inability to clear their effective airways, which is usually a painful process for the patients. The aim of this study was to investigate the effect of spike lavender’s inhalant on pain during tracheal tube suctioning in ICU intubated patients.
Materials & Methods In this double-blinded randomized clinical trial, 60 intubated patients hospitalized in ICU of Shahid Modarres Hospital of Kashmar City, Iran, in 2017 were selected by available and simple sampling method, and were randomly divided into 2 control and case groups (each 30 individuals). Before the standard suctioning process, the test group patients received inhalant of 2% spike lavender for 5 minutes and the control group received inhalant of distilled water. The level of pain was recorded before and during tracheal tube suctioning. Data were analyzed by SPSS 16 software using independent T, paired T, Fisher and Mann-Whitney U tests.
Findings There was no significant difference in pain score before tracheal tube suction between 2 groups (p>0.05). However, there were significant differences between the level of pain during tracheal tube suctioning and the pain was increased in both groups, but this increase was significantly higher in the control group (p<0.001).
Conclusion Spike lavender’s inhalant is effective on pain reduction during suctioning process of ICU intubated patients.
Materials & Methods In this double-blinded randomized clinical trial, 60 intubated patients hospitalized in ICU of Shahid Modarres Hospital of Kashmar City, Iran, in 2017 were selected by available and simple sampling method, and were randomly divided into 2 control and case groups (each 30 individuals). Before the standard suctioning process, the test group patients received inhalant of 2% spike lavender for 5 minutes and the control group received inhalant of distilled water. The level of pain was recorded before and during tracheal tube suctioning. Data were analyzed by SPSS 16 software using independent T, paired T, Fisher and Mann-Whitney U tests.
Findings There was no significant difference in pain score before tracheal tube suction between 2 groups (p>0.05). However, there were significant differences between the level of pain during tracheal tube suctioning and the pain was increased in both groups, but this increase was significantly higher in the control group (p<0.001).
Conclusion Spike lavender’s inhalant is effective on pain reduction during suctioning process of ICU intubated patients.
CITATION LINKS
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[15]Gramke HF, de Rijke JM, van Kleef M, Raps F, Kessels AG, Peters ML, et al. The prevalence of postoperative pain in a cross-sectional group of patients after day case surgery in a university hospital. Clin J Pain. 2007;23(6):543-8.
[16]Hui D, Elsayem A, De La Cruz M, Berger A, Zhukovsky DS, Palla S, et al. Availability and integration of palliative care at US cancer centers. JAMA. 2010;303(11):1054-61.
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[18]Gurulingappa MA, Awati MN, Adarsh S. Attenuation of cardiovascular responses to direct laryngoscopy and intubation-a comparative study between iv bolus fentanyl, lignocaine and placebo (NS). J Clin Diagn Res. 2012;6(10):1749-52.
[19]Mularski R, Whitechu F, Overbay D, Miller L, Asch S, Ganzini L. Measuring pain as the 5th vital sign dose not improve quality of pain management. J Gen Intern Med. 2006;21(6):607-12.
[20]Kamalifard M, Delazar A, Satarzade N, Mirghafourvand M, Dousti R. The comparison of the impact of lavender and Valerian aromatherapy on reduction of the active phase among Nulliparous women: A double blind randomized controlled trial. Int J Med Res Health Sci. 2016;5(9S):532-8.
[21]Sköld M, Hagvall L, Karlberg AT. Autoxidation of linalyl acetate, the main component of lavender oil, creates potent contact allergens. Contact Dermatitis. 2008;58(1):9-14.
[22]Duke JA. The green Pharmacy: New discoveries in herbal remedies for common diseases. New York City: Rodale Press; 1997.
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[24]Smith CA, Collins CT, Crowther CA. Aromatherapy for pain management in labour. Cochrane Database Syst Rev. 2011;(7):CD009215.
[25]Vakilian K, Karamat A, Mousavi A, Shariati M, Ajami E, Atarha M. The effect of Lavender essence via inhalation method on labor pain. J Shahrekord Univ Med Sci. 2012;14(1):34-40. [Persian]
[26]Hadi N, Hanid AA. Lavender essence for post-cesarean pain. Pak J Biol Sci. 2011;14(11):664-7.
[27]Alavi N, Nemati M, Kaviani M, Tabatabaii MH. The effect of aromatheraPy Lavender on PercePtion of Pain labor intensity and outcome of delivery. Armaghan Danesh. 2010;15:31-5. [Persian]
[28]Kim S, Kim HJ, Yeo JS, Hong SJ, Lee JM, Jeon J. The effect of lavender oil on stress, bispectral index values, and needle insertion pain in volunteers. J Altern Complement Med. 2011;17(9):823-6.
[29]Mohamadkhanishahri L, AbbasPoor Z, Agel N, Mohamadkhani Shahri H. Effect of massage aromatherapy with lavender oil on pain intensity of active phase of labor in nulliparous women. J Med Plants. 2012;9(42):167-76. [Persian]
[30]Ahmadi A, Karimi S, Azh N, Javadi A. The effect of lavender essence on labor pain in nulliparous women referred to Kosar hospital. Edrak. 2013;32(8):10-9. [Persian]
[31]Seraji A, Vakilian K. The comparison between the effects of aromatherapy with lavender and reathing techniques on the reduction of labor pain. Complement Med J Nurs Midwifery. 2011;1(1):34-41. [Persian]
[32]Vakilian K, Atarha M, Bekhradi R, Chaman R. Healing advantages of lavender essential oil during ePisiotomy recovery: A clinical trial. Complement Ther Clin Pract. 2011;17(1):50-3.
[33]Kim JT, Ren CJ, Fielding GA, Pitti A, Kasumi T, Wajda M, et al. Treatment with lavender aromatherapy in the post-anesthesia care unit reduces opioid requirements of morbidly obese patients undergoing laparoscopic adjustable gastric banding. Obes Surg. 2007;17(7)920-5.
[34]Ghods AA, Hoseini-Abforosh N, Ghorbani R, Asgari MR. Efeect of lavender inhalation on pain intensity during insertion of vascular needles in hemodialysis Patients. J Babol Univ Med Sci. 2014;16(10):7-14. [Persian]
[35]Santos FA, Rao VS. Antiinflammatory and antinociceptive effects of 1,8-cineole a terpenoid oxide present in many plant essential oils. Phytother Res. 2000;14(4):240-4.
[36]Juergens UR, Stöber M, Schmidt-Schilling L, Kleuver T, Vetter H. Antiinflammatory effects of euclyptol (1.8-cineole) in bronchial asthma: Inhibition of arachidonic acid metabolism in human blood monocytes ex vivo. Eur J Med Res. 1998;3(9):407-12.
[2]Brunner LS, Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner and Suddarth's textbook of medical surgical nursing. 12th edition. Philadelphia: Lippincott Williams & Wilkins; 2009.
[3]American Association for Respiratory Care. AARC Clinical Practice Guidelines, Endotracheal suctioning of mechanically ventilated Patients with artificial airways 2010. Respir Care. 2010;55(6):758-64.
[4]Ansari A, Alavi N, Hajbagheri M, Afazel M. The gap between knowledge and Practice in standard endo-tracheal suctioning of ICU nurses, shahid Beheshti Hospital. Iran J Crit Care Nursing. 2012;5(13):71-6. [Persian]
[5]Lasocki S, Lu Q, Sartorius A, Foulliat D, Remerand F, Rouby JJ. Open and closed- circuit endotracheal suctioning in acute lung in- jury: Efficiency and effects on gas exchange. Anesthesiology. 2006;104(1):39-47.
[6]Subirana M, Sola I, Benito S. Closed tracheal suction systems versus open tracheal suction systems for mechanically ventilated adult patients. Cochrane Database Syst Rev. 2007;(4):CD004581.
[7]Fernández MD, Piacentini E, Blanch L, Fernández R. Changes in lung volume with three systems of endotracheal suctioning with and without Pre-oxygenation in Patients with mild-to-moderate lung failure. Intensive Care Med. 2004;30(12):2210-5.
[8]Heinze H, Sedemund-Adib B, Heringlake M, Gosch UW, Eichler W. Functional residual capacity changes after different endotracheal suctioning methods. Anesth Analg. 2008;107(3):941-4.
[9]Urden LD, Stacy KM, Lough ME. Critical care nursing - E-book: Diagnosis and management (critical care nursing diagnosis). 7th edition. Maryland Heights: Mosby; 2014.
[10]Skov L, Ryding J, Pryds O, Greisen G. Changes in cerebral oxygenation and cerebral blood volume during endotracheal suctioning in ventilated neonates. Acta Paediatr. 1992;81(5):389-93.
[11]Shah AR, Kurth CD, Gwiazdowski SG, Chance B, Delivoria-Papadopoulos M. Fluctuations in cerebral oxygenation and blood volume during endotracheal suctioning in Premature infants. J Pediatr. 1992;120(5):769-74.
[12]Kerr ME, Rudy EB, Weber BB, Stone KS, Turner BS, Orndoff PA, et al. Effect of short-duration hyperventilation during endotracheal suctioning on intracranial Pressure in severe head-injured adults. Nurs Res. 1997;46(4):195-201.
[13]Rudy EB, Turner BS, Baun M, Stone KS, Brucia J. Endotracheal suctioning in adults with head injury. Heart Lung. 1991;20(6):667-74.
[14]Marino P, Marino's the little ICU Book. Philadelphia: Lippincott Williams & Wilkins; 2016.
[15]Gramke HF, de Rijke JM, van Kleef M, Raps F, Kessels AG, Peters ML, et al. The prevalence of postoperative pain in a cross-sectional group of patients after day case surgery in a university hospital. Clin J Pain. 2007;23(6):543-8.
[16]Hui D, Elsayem A, De La Cruz M, Berger A, Zhukovsky DS, Palla S, et al. Availability and integration of palliative care at US cancer centers. JAMA. 2010;303(11):1054-61.
[17]Yarbro CH, Wujcik D, Gobel BH. Cancer nursing: Principles and practice. 7th edition. Burlington: Jones & Bartlett Publishers; 2010.
[18]Gurulingappa MA, Awati MN, Adarsh S. Attenuation of cardiovascular responses to direct laryngoscopy and intubation-a comparative study between iv bolus fentanyl, lignocaine and placebo (NS). J Clin Diagn Res. 2012;6(10):1749-52.
[19]Mularski R, Whitechu F, Overbay D, Miller L, Asch S, Ganzini L. Measuring pain as the 5th vital sign dose not improve quality of pain management. J Gen Intern Med. 2006;21(6):607-12.
[20]Kamalifard M, Delazar A, Satarzade N, Mirghafourvand M, Dousti R. The comparison of the impact of lavender and Valerian aromatherapy on reduction of the active phase among Nulliparous women: A double blind randomized controlled trial. Int J Med Res Health Sci. 2016;5(9S):532-8.
[21]Sköld M, Hagvall L, Karlberg AT. Autoxidation of linalyl acetate, the main component of lavender oil, creates potent contact allergens. Contact Dermatitis. 2008;58(1):9-14.
[22]Duke JA. The green Pharmacy: New discoveries in herbal remedies for common diseases. New York City: Rodale Press; 1997.
[23]Marcia S. Handbook of natural therapies, exploring the spiral of healing. Berkeley CA: Crossing Press; 1998.
[24]Smith CA, Collins CT, Crowther CA. Aromatherapy for pain management in labour. Cochrane Database Syst Rev. 2011;(7):CD009215.
[25]Vakilian K, Karamat A, Mousavi A, Shariati M, Ajami E, Atarha M. The effect of Lavender essence via inhalation method on labor pain. J Shahrekord Univ Med Sci. 2012;14(1):34-40. [Persian]
[26]Hadi N, Hanid AA. Lavender essence for post-cesarean pain. Pak J Biol Sci. 2011;14(11):664-7.
[27]Alavi N, Nemati M, Kaviani M, Tabatabaii MH. The effect of aromatheraPy Lavender on PercePtion of Pain labor intensity and outcome of delivery. Armaghan Danesh. 2010;15:31-5. [Persian]
[28]Kim S, Kim HJ, Yeo JS, Hong SJ, Lee JM, Jeon J. The effect of lavender oil on stress, bispectral index values, and needle insertion pain in volunteers. J Altern Complement Med. 2011;17(9):823-6.
[29]Mohamadkhanishahri L, AbbasPoor Z, Agel N, Mohamadkhani Shahri H. Effect of massage aromatherapy with lavender oil on pain intensity of active phase of labor in nulliparous women. J Med Plants. 2012;9(42):167-76. [Persian]
[30]Ahmadi A, Karimi S, Azh N, Javadi A. The effect of lavender essence on labor pain in nulliparous women referred to Kosar hospital. Edrak. 2013;32(8):10-9. [Persian]
[31]Seraji A, Vakilian K. The comparison between the effects of aromatherapy with lavender and reathing techniques on the reduction of labor pain. Complement Med J Nurs Midwifery. 2011;1(1):34-41. [Persian]
[32]Vakilian K, Atarha M, Bekhradi R, Chaman R. Healing advantages of lavender essential oil during ePisiotomy recovery: A clinical trial. Complement Ther Clin Pract. 2011;17(1):50-3.
[33]Kim JT, Ren CJ, Fielding GA, Pitti A, Kasumi T, Wajda M, et al. Treatment with lavender aromatherapy in the post-anesthesia care unit reduces opioid requirements of morbidly obese patients undergoing laparoscopic adjustable gastric banding. Obes Surg. 2007;17(7)920-5.
[34]Ghods AA, Hoseini-Abforosh N, Ghorbani R, Asgari MR. Efeect of lavender inhalation on pain intensity during insertion of vascular needles in hemodialysis Patients. J Babol Univ Med Sci. 2014;16(10):7-14. [Persian]
[35]Santos FA, Rao VS. Antiinflammatory and antinociceptive effects of 1,8-cineole a terpenoid oxide present in many plant essential oils. Phytother Res. 2000;14(4):240-4.
[36]Juergens UR, Stöber M, Schmidt-Schilling L, Kleuver T, Vetter H. Antiinflammatory effects of euclyptol (1.8-cineole) in bronchial asthma: Inhibition of arachidonic acid metabolism in human blood monocytes ex vivo. Eur J Med Res. 1998;3(9):407-12.