A study of ′cough trick′ technique in reducing vaccination prick pain in adolescents

Kumar, Vikram; Budur, Sangeeta V.; Odappa, Girish H.

doi:10.4103/0970-5333.132847

Cited by 9 publications

(21 citation statements)

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“…The authors have described the potential mechanism to explain their findings as the activation of the segmental pain‐inhibitory pathways because of increased pressure in the subarachnoidal space during coughing. Similar results were reported by Kumar et al () for intramuscular prick pain during vaccinations in adolescent males. In the present study as well, we have found this technique to be useful in reducing lancing pain, especially in female subjects.…”

Section: Discussionsupporting

confidence: 91%

“…Several methods have been tried to reduce the intensity of perceived needle pain. Distraction by means of the coughing trick during intramuscular injections (Kumar et al, ), barometric stimulation by respiratory manoeuvre when inflicting pain on the nail bed (Reyes del Paso et al , ) and diverting attention away from the site of the needle prick (Höfle et al ,2012) have been reported to be effective in mitigating the intensity of perceived pain.…”

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confidence: 99%

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A comparison of lancets and evaluation of various manoeuvres in reducing finger prick pain during pre‐donation haemoglobin estimation

Sonker

Agarwal

2019

Transfusion Medicine

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Objectives: Three different types of lancets have been compared to identify and implement the one that causes the least pain. Simple manoeuvres during the lancing procedure have been evaluated to determine their effectiveness in reducing the intensity of perceived pain.Background: Pre-donation haemoglobin estimation is performed by pricking the donor's finger with a lancet. Pain associated with the procedure causes fear and anxiety, which dissuades the donors from donating blood. Methods:In 100 subjects, finger prick was performed using three different lancets, and the subjects were asked to score their pain on a numerical rating scale (NRS). A further 150 blood donors were subjected to routine finger pricking for Hb estimation and were asked to score their pain on an NRS. After 15 min, they underwent a second prick with application of a manoeuvre (breath holding, coughing trick or looking away) and again marked their pain scores on the NRS.Results: Participants reported the least pain scores with lancing devices that have a spring mechanism to retract the lancets soon after penetration into the skin. Breath holding and the cough trick manoeuvre reduced the perceived pain scores significantly. Conclusion:Lancing devices merit consideration for routine use, and a simple manoeuvre may be applied to reduce perceived pain.

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Section: Discussionsupporting

confidence: 91%

mentioning

confidence: 99%

A comparison of lancets and evaluation of various manoeuvres in reducing finger prick pain during pre‐donation haemoglobin estimation

Sonker

Agarwal

2019

Transfusion Medicine

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“…It is stated in the literature that the basic potential mechanisms in the control of pain of the technique of coughing and blowing into a spirometer depend on the Valsalva manoeuvre, along with the method of directing the attention elsewhere (Kumar et al., ; Mohammadi et al., ; Suren et al., ; Usichenko et al., ; Wallace et al., ). The results of the present study showed that individuals in the coughing, spirometer and stress ball groups felt statistically less pain during the process of peripheral intravenous catheterisation than the individuals in the control group.…”

Section: Discussionmentioning

confidence: 99%

“…Many such methods are in use to relieve pain during peripheral intravenous catheterisation, such as cold application (Ayg€ un et al, 2013), the use of the Buzzy device, which is in the shape of a bee and which applies cold via ice wings and vibration via a motor (S ßahiner, _ Inal, & Akbay, 2015), and diverting the attention (Canbulat, _ Inal, & S€ onmezer, 2014;Yoo, Kim, Hur, & Kim, 2011). Apart from these, studies have reported the use of the Valsalva manoeuvre to reduce interventional pain (Kumar, Budur, & Odappa, 2014;Mohammadi, Pajand, & Shoeibi, 2011;Wallace, Allen, Lacroix, & Pitner, 2010).…”

Section: Introductionmentioning

confidence: 99%

The effect on pain of three different nonpharmacological methods in peripheral intravenous catheterisation in adults

Yılmaz

Güneş

2018

Journal of Clinical Nursing

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“…"Cough-trick" (CT)-coughing on command simultaneously to skin puncture-is a simple effective method of pain relief during peripheral venipuncture (VP) and various injections [1][2][3]. Several investigations confirmed the effectiveness of CT either with a classic technique [1][2][3] or in modified form as various breathing interventions (e.g., Valsalva maneuver or balloon inflation) in pain relief during peripheral VP, vaccination injections, spinal puncture, and even biopsy [1][2][3][4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Mechanisms of “Cough-Trick” for Pain Relief during Venipuncture: An Experimental Crossover Investigation in Healthy Volunteers

Usichenko

Janner

Gagarine

et al. 2019

Pain Research and Management

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Objectives. The easily performed “cough-trick” (CT) reduces pain during venipuncture (VP), although the underlying mechanism remains unclear. The aim was to investigate the pain-reducing effect of CT during VP in comparison with two distraction methods, as well as under the influence of naloxone. Methods. 54 healthy male volunteers participated in 3 investigations. Pain during standardized VP with CT was compared to a “weak” distraction (squeezing a rubber ball; investigation 1; n=20) and to a “strong” distraction (inflating a tourniquet to a given pressure; investigation 2; n=21). In investigation 3 (n=13), pain at a VP without intervention was compared to pain at VP with CT under naloxone; pressure pain thresholds before and after naloxone administration were also measured. Pain was assessed using a 100 mm visual analogue scale. Data were compared within each sample using Student’s t-test for paired samples. Results. Pain intensity at VP with CT was lower than under “weak” distraction (mean difference 5 mm; 95% CI: 0.5 to 9.6; P=0.03). Pain levels under CT and “strong” distraction were comparable. There was no difference between pain under CT after naloxone infusion and pain without intervention. Pressure pain threshold decreased (mean difference 1 mm; 95% CI: 0.1 to 1.0 mm; P=0.02) after naloxone administration. Conclusion. Pain-reducing effect of CT during VP is superior to that of simple motor distraction and equivalent to a complex distraction method. This might be due to the activation of segmental pain inhibitory pathways during coughing indicated through the lack of pain reduction due to CT under opioid antagonist blockage.

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A study of ′cough trick′ technique in reducing vaccination prick pain in adolescents

Cited by 9 publications

References 0 publications

A comparison of lancets and evaluation of various manoeuvres in reducing finger prick pain during pre‐donation haemoglobin estimation

A comparison of lancets and evaluation of various manoeuvres in reducing finger prick pain during pre‐donation haemoglobin estimation

The effect on pain of three different nonpharmacological methods in peripheral intravenous catheterisation in adults

Mechanisms of “Cough-Trick” for Pain Relief during Venipuncture: An Experimental Crossover Investigation in Healthy Volunteers

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