The Effect of Cold Application to the Lateral Neck Area on Peripheral Vascular Access Pain: A Randomised Controlled Study Article Swipe
Şenay Canikli Adıgüzel
,
Dilan Akyurt
,
Gökçe Ültan Özgen
,
Hatice Bahadır Altun
,
Aleyna Çakır
,
Mustafa Süren
,
İsmail Okan
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12196273
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12196273
Introduction: Various types of vagus nerve stimulation are employed in the treatment of a range of conditions, including depression, anxiety, epilepsy, headache, tinnitus, atrial fibrillation, schizophrenia, and musculoskeletal pain. The objective of this study was to apply vagal stimulation to the neck area using standardised cold, and then analyse the level of vascular access discomfort experienced by individuals who underwent venous cannulation from the dorsal side of the hand prior to anaesthesia. Materials and Methods: A total of 180 patients, aged 18–75, who were scheduled to undergo elective surgery, were categorised into three distinct groups: the Sham group (Group S), the Control group (Group K), and the Cold group (Group M), with each group consisting of 60 individuals. Bilateral cold application to the lateral side of the neck was performed prior to the commencement of vascular access in Group M patients, followed by the subsequent opening of vascular access. The alterations in heart rate among patients was assessed subsequent to the application of cold and following the establishment of vascular access. The participants were instructed to assess their level of vascular access pain on a numerical pain scale (NRS) ranging from 0 to 10. Results: A statistically significant difference (p = 0.035) was seen when comparing the pain ratings of patients during vascular access. The study revealed that the NRS values exhibited a statistically significant decrease in Group M compared to both Group K (p = 0.038) and Group S (p = 0.048). Group M had a higher prevalence of individuals experiencing mild pain compared to other groups, and the difference was statistically significant (p = 0.029). In Group M, the average heart rate following vagal stimulation exhibited a statistically significant decrease compared to the average heart rate observed at the beginning of the study (p < 0.05). Upon comparing the original heart rate measurements with the heart rate values following vascular access, it was observed that there was an elevation in heart rate for both Group S and Group K. Conversely, Group M exhibited a decrease in heart rate after vascular access when compared to the initial heart rate values. Conclusions: In the present investigation, it was discovered that the application of cold to the neck region resulted in a drop in heart rate among the patients, which persisted throughout the process of vascular access. Furthermore, the level of pain experienced by these individuals was reduced during vascular access procedures.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm12196273
- https://www.mdpi.com/2077-0383/12/19/6273/pdf?version=1695908797
- OA Status
- gold
- Cited By
- 2
- References
- 18
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4387186696
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4387186696Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm12196273Digital Object Identifier
- Title
-
The Effect of Cold Application to the Lateral Neck Area on Peripheral Vascular Access Pain: A Randomised Controlled StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-09-28Full publication date if available
- Authors
-
Şenay Canikli Adıgüzel, Dilan Akyurt, Gökçe Ültan Özgen, Hatice Bahadır Altun, Aleyna Çakır, Mustafa Süren, İsmail OkanList of authors in order
- Landing page
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https://doi.org/10.3390/jcm12196273Publisher landing page
- PDF URL
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https://www.mdpi.com/2077-0383/12/19/6273/pdf?version=1695908797Direct link to full text PDF
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2077-0383/12/19/6273/pdf?version=1695908797Direct OA link when available
- Concepts
-
Medicine, Peripheral, Neck pain, Randomized controlled trial, Vascular access, Physical therapy, Physical medicine and rehabilitation, Anesthesia, Surgery, Internal medicine, Pathology, Alternative medicine, HemodialysisTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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18Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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