Use of audiovisual devices in transnasal endoscopy without sedation to improve tolerance. A prospective clinical trial.

Autor:	González-González JA; Departamento de Gastroenterología, Hospital Universitario Dr. José E. González, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico., Benavides-Salgado DE; Departamento de Gastroenterología, Hospital Universitario Dr. José E. González, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico. Electronic address: daniel-benavides@live.com., Garcia-Compean D; Departamento de Gastroenterología, Hospital Universitario Dr. José E. González, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico., González-Gómez B; Departamento de Gastroenterología, Hospital Universitario Dr. José E. González, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico., Muñoz-Ayala JM; Departamento de Gastroenterología, Hospital Universitario Dr. José E. González, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico., Jiménez-Castillo RA; Departamento de Gastroenterología, Hospital Universitario Dr. José E. González, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico., Ibarra-Sifuentes HR; Departamento de Medicina Interna, Hospital Universitario Dr. José E. González, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico., Atilano-Díaz A; Departamento de Gastroenterología, Hospital Universitario Dr. José E. González, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico., Sordia-Ramírez J; Departamento de Psiquiatría, Hospital Universitario Dr. José E. González, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico., Ramos-Cuevas MD; Departamento de Ingeniería Biomédica, Hospital Universitario Dr. José E. González, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico., Maldonado-Garza HJ; Departamento de Gastroenterología, Hospital Universitario Dr. José E. González, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico.
Jazyk:	angličtina
Zdroj:	Revista de gastroenterologia de Mexico (English) [Rev Gastroenterol Mex (Engl Ed)] 2023 Oct-Dec; Vol. 88 (4), pp. 347-353. Date of Electronic Publication: 2023 Jan 25.
DOI:	10.1016/j.rgmxen.2023.01.004
Abstrakt:	Introduction and Aim: Transnasal endoscopy (TNE) has proven its diagnostic utility, but it has not been widely accepted given that it is performed without sedation. There are no previous studies on the use of methods to improve its tolerability. Our aim was to evaluate the tolerability of TNE, when simultaneously performed with an audiovisual device as a distractor. Methods: We evaluated 50 patients, 10 of whom did not agree to participate. The performance of the procedure was explained, using an audiovisual device. Before randomization, we applied anxiety and depression scores. Patients were divided into 2 groups: Group I (using an audiovisual device during the procedure) and Group II (without a device). Anxiety and numeric pain rating scales were used, and vital signs were monitored and recorded before, during, and after the endoscopy. An overall procedure satisfaction score was applied at the end of the study and 24 h later. Results: Mean age was 41.6 years and 35 of the patients were women (87.5%). The most frequent indication for TNE was refractory gastroesophageal reflux disease. There were no severe comorbidities, and none of the patients had a significant anxiety or depression score. One patient in Group II did not tolerate TNE due to nasal pain. There was no statistically significant difference between groups, regarding anxiety, pain, vital signs, and satisfaction scale. Conclusion: Our study showed that TNE was well tolerated and had a high acceptance rate in our patients. The use of distracting audiovisual devices did not increase tolerance to the endoscopic procedure. (Copyright © 2022 Asociación Mexicana de Gastroenterología. Published by Masson Doyma México S.A. All rights reserved.)
Databáze:	MEDLINE
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