Bronchoscope insertion route and patient comfort during flexible bronchoscopy
SETTING: Diagnostic flexible bronchoscopy performed in hospitalised and ambulatory patients in a tertiary care academic hospital in Monterrey, Mexico.OBJECTIVE: To determine the effect of the route of insertion of the bronchoscope (oral or nasal) on patient comfort, vocal cord visualisation, local a...
Gespeichert in:
| Veröffentlicht in: | The international journal of tuberculosis and lung disease 2015-03, Vol.19 (3), p.356-361 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 361 |
|---|---|
| container_issue | 3 |
| container_start_page | 356 |
| container_title | The international journal of tuberculosis and lung disease |
| container_volume | 19 |
| creator | González Aguirre, J. E. Chavarría Martínez, U. Rodríguez Mier, D. Acosta Moreno, M. Mercado Longoria, R. |
| description | SETTING: Diagnostic flexible bronchoscopy performed in hospitalised and ambulatory patients in a tertiary care academic hospital in Monterrey, Mexico.OBJECTIVE: To determine the effect of the route of insertion of the bronchoscope (oral or nasal) on patient comfort, vocal cord visualisation,
local anaesthetic and sedation requirements and possible complications.DESIGN: Prospective study carried out in patients aged 18 years with an indication for flexible bronchoscopy. The route of insertion was randomly assigned. Symptoms related to the procedure were evaluated using
a questionnaire.RESULTS: Sixty-three patients were included: 32 in the oral insertion group and 31 in the nasal insertion group. There was no statistically significant difference in patient discomfort (1.91 ± 2.95 vs. 2.39 ± 3.56 points on a scale of 1 to 10, P = 0.74)
or procedural complications (4 vs. 0 events, P = 0.12) between study groups. Oral insertion was associated with less time to vocal cord visualisation (25.5 ± 156 s vs. 56 ± 61 s, P < 0.01), lower requirement for lidocaine (15 ± 7.50 vs. 16 ± 4 ml,
P = 0.01) and fewer insertion failures (0 vs. 6 cases, P < 0.01).CONCLUSIONS: With intravenous sedoanalgesia, route of insertion did not affect patient comfort. However, the oral route was associated with faster vocal cord visualisation, less use of lidocaine and no insertion
failure. |
| doi_str_mv | 10.5588/ijtld.14.0632 |
| format | Article |
| fullrecord | <record><control><sourceid>pubtec_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1656046479</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ingid>iuatld/ijtld/2015/00000019/00000003/art00022</ingid><sourcerecordid>iuatld/ijtld/2015/00000019/00000003/art00022</sourcerecordid><originalsourceid>FETCH-LOGICAL-c453t-b443a0a1a92d5064bad801a6ce8b77113a67fb427a2adc23f614419c835887ab3</originalsourceid><addsrcrecordid>eNp1kE1v1DAQhiMEoqVw5Ipy5JLF48_kCKWlSEVVJTiPJo5TvMrGi-1UlF-Pd1PgxFxmDq-emXmq6jWwjVJt-85v8zRsQG6YFvxJdQotqMZ0nD0tM-OmEQa6k-pFSlvGOACY59UJV7rVIM1p9eVDDLP9HpINe1f7ObmYfZjrGJbsapqHek_ZuznXNuzGEHM9LNHPd_U4uZ--n1zd_wM8vKyejTQl9-qxn1XfLi--nl811zefPp-_v26sVCI3vZSCGAF1fFBMy56GlgFp69reGABB2oy95IY4DZaLsdwqobOtKB8b6sVZ9Xbl7mP4sbiUceeTddNEswtLQtBKM6ml6Uq0WaM2hpSiG3Ef_Y7iAwLDg0E8GkSQeDBY8m8e0Uu_c8Pf9B9lJXC7BoqF4oVwG5Y4l2_RW_QLHWFF_ME73kM3C-RFPGu5KktUh4MbaZkyZop49wsTPyz9-D_mClxv5AwUsmMV9jowgRRz6QXzGzEInus</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1656046479</pqid></control><display><type>article</type><title>Bronchoscope insertion route and patient comfort during flexible bronchoscopy</title><source>MEDLINE</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>González Aguirre, J. E. ; Chavarría Martínez, U. ; Rodríguez Mier, D. ; Acosta Moreno, M. ; Mercado Longoria, R.</creator><creatorcontrib>González Aguirre, J. E. ; Chavarría Martínez, U. ; Rodríguez Mier, D. ; Acosta Moreno, M. ; Mercado Longoria, R.</creatorcontrib><description>SETTING: Diagnostic flexible bronchoscopy performed in hospitalised and ambulatory patients in a tertiary care academic hospital in Monterrey, Mexico.OBJECTIVE: To determine the effect of the route of insertion of the bronchoscope (oral or nasal) on patient comfort, vocal cord visualisation,
local anaesthetic and sedation requirements and possible complications.DESIGN: Prospective study carried out in patients aged 18 years with an indication for flexible bronchoscopy. The route of insertion was randomly assigned. Symptoms related to the procedure were evaluated using
a questionnaire.RESULTS: Sixty-three patients were included: 32 in the oral insertion group and 31 in the nasal insertion group. There was no statistically significant difference in patient discomfort (1.91 ± 2.95 vs. 2.39 ± 3.56 points on a scale of 1 to 10, P = 0.74)
or procedural complications (4 vs. 0 events, P = 0.12) between study groups. Oral insertion was associated with less time to vocal cord visualisation (25.5 ± 156 s vs. 56 ± 61 s, P < 0.01), lower requirement for lidocaine (15 ± 7.50 vs. 16 ± 4 ml,
P = 0.01) and fewer insertion failures (0 vs. 6 cases, P < 0.01).CONCLUSIONS: With intravenous sedoanalgesia, route of insertion did not affect patient comfort. However, the oral route was associated with faster vocal cord visualisation, less use of lidocaine and no insertion
failure.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>DOI: 10.5588/ijtld.14.0632</identifier><identifier>PMID: 25686147</identifier><language>eng</language><publisher>France: International Union Against Tuberculosis and Lung Disease</publisher><subject>Adult ; Aged ; Anesthesia, Local - methods ; Anesthetics, Local - pharmacology ; Bronchoscopes ; Bronchoscopy ; Bronchoscopy - instrumentation ; Bronchoscopy - methods ; Female ; Humans ; Lidocaine - pharmacology ; Linear Models ; Male ; Mexico ; Middle Aged ; Nasal ; Oral ; Patient Comfort ; Prospective Studies ; Surveys and Questionnaires</subject><ispartof>The international journal of tuberculosis and lung disease, 2015-03, Vol.19 (3), p.356-361</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-b443a0a1a92d5064bad801a6ce8b77113a67fb427a2adc23f614419c835887ab3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25686147$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>González Aguirre, J. E.</creatorcontrib><creatorcontrib>Chavarría Martínez, U.</creatorcontrib><creatorcontrib>Rodríguez Mier, D.</creatorcontrib><creatorcontrib>Acosta Moreno, M.</creatorcontrib><creatorcontrib>Mercado Longoria, R.</creatorcontrib><title>Bronchoscope insertion route and patient comfort during flexible bronchoscopy</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>SETTING: Diagnostic flexible bronchoscopy performed in hospitalised and ambulatory patients in a tertiary care academic hospital in Monterrey, Mexico.OBJECTIVE: To determine the effect of the route of insertion of the bronchoscope (oral or nasal) on patient comfort, vocal cord visualisation,
local anaesthetic and sedation requirements and possible complications.DESIGN: Prospective study carried out in patients aged 18 years with an indication for flexible bronchoscopy. The route of insertion was randomly assigned. Symptoms related to the procedure were evaluated using
a questionnaire.RESULTS: Sixty-three patients were included: 32 in the oral insertion group and 31 in the nasal insertion group. There was no statistically significant difference in patient discomfort (1.91 ± 2.95 vs. 2.39 ± 3.56 points on a scale of 1 to 10, P = 0.74)
or procedural complications (4 vs. 0 events, P = 0.12) between study groups. Oral insertion was associated with less time to vocal cord visualisation (25.5 ± 156 s vs. 56 ± 61 s, P < 0.01), lower requirement for lidocaine (15 ± 7.50 vs. 16 ± 4 ml,
P = 0.01) and fewer insertion failures (0 vs. 6 cases, P < 0.01).CONCLUSIONS: With intravenous sedoanalgesia, route of insertion did not affect patient comfort. However, the oral route was associated with faster vocal cord visualisation, less use of lidocaine and no insertion
failure.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia, Local - methods</subject><subject>Anesthetics, Local - pharmacology</subject><subject>Bronchoscopes</subject><subject>Bronchoscopy</subject><subject>Bronchoscopy - instrumentation</subject><subject>Bronchoscopy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Lidocaine - pharmacology</subject><subject>Linear Models</subject><subject>Male</subject><subject>Mexico</subject><subject>Middle Aged</subject><subject>Nasal</subject><subject>Oral</subject><subject>Patient Comfort</subject><subject>Prospective Studies</subject><subject>Surveys and Questionnaires</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1v1DAQhiMEoqVw5Ipy5JLF48_kCKWlSEVVJTiPJo5TvMrGi-1UlF-Pd1PgxFxmDq-emXmq6jWwjVJt-85v8zRsQG6YFvxJdQotqMZ0nD0tM-OmEQa6k-pFSlvGOACY59UJV7rVIM1p9eVDDLP9HpINe1f7ObmYfZjrGJbsapqHek_ZuznXNuzGEHM9LNHPd_U4uZ--n1zd_wM8vKyejTQl9-qxn1XfLi--nl811zefPp-_v26sVCI3vZSCGAF1fFBMy56GlgFp69reGABB2oy95IY4DZaLsdwqobOtKB8b6sVZ9Xbl7mP4sbiUceeTddNEswtLQtBKM6ml6Uq0WaM2hpSiG3Ef_Y7iAwLDg0E8GkSQeDBY8m8e0Uu_c8Pf9B9lJXC7BoqF4oVwG5Y4l2_RW_QLHWFF_ME73kM3C-RFPGu5KktUh4MbaZkyZop49wsTPyz9-D_mClxv5AwUsmMV9jowgRRz6QXzGzEInus</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>González Aguirre, J. E.</creator><creator>Chavarría Martínez, U.</creator><creator>Rodríguez Mier, D.</creator><creator>Acosta Moreno, M.</creator><creator>Mercado Longoria, R.</creator><general>International Union Against Tuberculosis and Lung Disease</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>Bronchoscope insertion route and patient comfort during flexible bronchoscopy</title><author>González Aguirre, J. E. ; Chavarría Martínez, U. ; Rodríguez Mier, D. ; Acosta Moreno, M. ; Mercado Longoria, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-b443a0a1a92d5064bad801a6ce8b77113a67fb427a2adc23f614419c835887ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia, Local - methods</topic><topic>Anesthetics, Local - pharmacology</topic><topic>Bronchoscopes</topic><topic>Bronchoscopy</topic><topic>Bronchoscopy - instrumentation</topic><topic>Bronchoscopy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Lidocaine - pharmacology</topic><topic>Linear Models</topic><topic>Male</topic><topic>Mexico</topic><topic>Middle Aged</topic><topic>Nasal</topic><topic>Oral</topic><topic>Patient Comfort</topic><topic>Prospective Studies</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>González Aguirre, J. E.</creatorcontrib><creatorcontrib>Chavarría Martínez, U.</creatorcontrib><creatorcontrib>Rodríguez Mier, D.</creatorcontrib><creatorcontrib>Acosta Moreno, M.</creatorcontrib><creatorcontrib>Mercado Longoria, R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>González Aguirre, J. E.</au><au>Chavarría Martínez, U.</au><au>Rodríguez Mier, D.</au><au>Acosta Moreno, M.</au><au>Mercado Longoria, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bronchoscope insertion route and patient comfort during flexible bronchoscopy</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>19</volume><issue>3</issue><spage>356</spage><epage>361</epage><pages>356-361</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTING: Diagnostic flexible bronchoscopy performed in hospitalised and ambulatory patients in a tertiary care academic hospital in Monterrey, Mexico.OBJECTIVE: To determine the effect of the route of insertion of the bronchoscope (oral or nasal) on patient comfort, vocal cord visualisation,
local anaesthetic and sedation requirements and possible complications.DESIGN: Prospective study carried out in patients aged 18 years with an indication for flexible bronchoscopy. The route of insertion was randomly assigned. Symptoms related to the procedure were evaluated using
a questionnaire.RESULTS: Sixty-three patients were included: 32 in the oral insertion group and 31 in the nasal insertion group. There was no statistically significant difference in patient discomfort (1.91 ± 2.95 vs. 2.39 ± 3.56 points on a scale of 1 to 10, P = 0.74)
or procedural complications (4 vs. 0 events, P = 0.12) between study groups. Oral insertion was associated with less time to vocal cord visualisation (25.5 ± 156 s vs. 56 ± 61 s, P < 0.01), lower requirement for lidocaine (15 ± 7.50 vs. 16 ± 4 ml,
P = 0.01) and fewer insertion failures (0 vs. 6 cases, P < 0.01).CONCLUSIONS: With intravenous sedoanalgesia, route of insertion did not affect patient comfort. However, the oral route was associated with faster vocal cord visualisation, less use of lidocaine and no insertion
failure.</abstract><cop>France</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>25686147</pmid><doi>10.5588/ijtld.14.0632</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1027-3719 |
| ispartof | The international journal of tuberculosis and lung disease, 2015-03, Vol.19 (3), p.356-361 |
| issn | 1027-3719 1815-7920 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1656046479 |
| source | MEDLINE; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Aged Anesthesia, Local - methods Anesthetics, Local - pharmacology Bronchoscopes Bronchoscopy Bronchoscopy - instrumentation Bronchoscopy - methods Female Humans Lidocaine - pharmacology Linear Models Male Mexico Middle Aged Nasal Oral Patient Comfort Prospective Studies Surveys and Questionnaires |
| title | Bronchoscope insertion route and patient comfort during flexible bronchoscopy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T02%3A40%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubtec_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Bronchoscope%20insertion%20route%20and%20patient%20comfort%20during%20flexible%20bronchoscopy&rft.jtitle=The%20international%20journal%20of%20tuberculosis%20and%20lung%20disease&rft.au=Gonz%C3%A1lez%20Aguirre,%20J.%20E.&rft.date=2015-03-01&rft.volume=19&rft.issue=3&rft.spage=356&rft.epage=361&rft.pages=356-361&rft.issn=1027-3719&rft.eissn=1815-7920&rft_id=info:doi/10.5588/ijtld.14.0632&rft_dat=%3Cpubtec_proqu%3Eiuatld/ijtld/2015/00000019/00000003/art00022%3C/pubtec_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1656046479&rft_id=info:pmid/25686147&rft_ingid=iuatld/ijtld/2015/00000019/00000003/art00022&rfr_iscdi=true |