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Randomized Controlled Trial

Placebo-Controlled Trial of Blowing on a Wound: Pediatric Antimicrobial Efficacy of Parental Saliva-Adjacent Airflow

Tomás E. Bjørnsen1,2, Aisha K. Lindqvist1

  1. 1Department of Pediatric Folk Medicine, Playground Campus
  2. 2Center for Things Grandma Already Knew

Pediatric Folk Medicine Quarterly. 2026;27(2):77-94.

PMID: 82270226 · DOI: 10.1069/satire.2026.0027

Received 2025 Oct 4 · Accepted 2025 Dec 19 · Published 2026 Jan 8

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Abstract

Background: Blowing on a minor wound ('kissing it better') is among the most widely practiced pediatric interventions, yet remains unapproved. We conducted the first placebo-controlled trial.

Methods: Children (n = 312, ages 3–7) with grazed knees were randomized to (a) parental airflow plus 'there there,' or (b) clinically applied antiseptic. The primary endpoint was subjective healing within 5 seconds; airflow was delivered at the manufacturer-recommended distance of one concerned parent.

Results: Parental airflow achieved 99.8% subjective healing in 4 seconds, versus 3 minutes and considerable crying for antiseptic (p < 0.001). Mechanistic analysis found the effect was not antimicrobial but attributable to a parent crouching to eye level. No adverse events, except when a sibling was watching.

Conclusion: Blowing on a wound is non-inferior to antiseptic for the only outcome children care about. The active ingredient is attention. Antiseptic is still recommended for the actual wound.

Keywords: Pediatrics; Folk Medicine; Placebo; Clinical Trials.

Conflict of Interest Statement
Both authors are parents and were unblinded by instinct.
Funding
Supported by the Center for Things Grandma Already Knew (Grant No. TOLD-YOU).
Ethics Statement
Approved by the playground ethics committee. Consent obtained from each child via a sticker.

Cite

Bjørnsen TE, Lindqvist AK. (2026). Placebo-Controlled Trial of Blowing on a Wound: Pediatric Antimicrobial Efficacy of Parental Saliva-Adjacent Airflow. Pediatric Folk Medicine Quarterly. 2026;27(2):77-94. https://doi.org/10.1069/satire.2026.0027

References

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  2. Lindqvist AK. 'There there' as adjuvant therapy. J Comfort Sci. 2025;3(1):e0031.
  3. Anon. The sticker as analgesic. Placebo Lett. 2024;6(2):44-52.
  4. Bjørnsen TE, Lindqvist AK. Distance of one concerned parent: a unit. Metrol Care. 2025;1(4):e0014.
  5. Anon. Kissing it better: a systematic review. Cochrane Grandma. 2024;2(2):1-40.
  6. Lindqvist AK. Crying duration as a secondary endpoint. J Pediatr Acoustics. 2025;7(7):e0077.
  7. Bjørnsen TE. When a sibling is watching: an effect modifier. Rivalry Stud. 2026;1(1):e0001.
  8. Anon. Band-Aids with cartoons outperform plain (RCT). Adhes Ther. 2024;9(1):1-9.
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  10. Bjørnsen TE. Antiseptic refusal: a behavioral barrier. Compliance Q. 2025;3(3):e0033.
  11. Anon. Why it hurts more when Mom looks worried. Affect Pediatr. 2024;8(8):e0088.
  12. Lindqvist AK. The juice-box recovery protocol. Rehydr Notes. 2026;1(1):e0001.
  13. PubMedLie Editorial Office. Disclaimer: this is satire.
  14. Anon. It still works on adults (we checked). Letters. 2026;1(1):1-1.