Effect of Hypertonic Saline during Flexible Nasopharyngeal Laryngoscopy: A Double-Blinded, Randomized, Controlled Trial
| Autor: | Necat Alataş, Merih Onal, Ozkan Onal, Omer Erdur, Bahar Keleş |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
genetic structures
Lidocaine Double blinded Xylometazoline law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Medicine Nasopharyngeal Laryngoscopy Humans Prospective Studies Sinusitis Administration Intranasal Saline Solution Hypertonic medicine.diagnostic_test Laryngoscopy business.industry respiratory system Hypertonic saline Endoscopy 030220 oncology & carcinogenesis Anesthesia 030211 gastroenterology & hepatology Surgery business medicine.drug |
| Zdroj: | Journal of investigative surgery : the official journal of the Academy of Surgical Research. 34(11) |
| ISSN: | 1521-0553 |
| Popis: | Flexible nasopharyngeal laryngoscopy (NPL) is a cost-effective, simple procedure that provides visualization of the nasal airways. However, it involves a number of challenges for both the clinician and the patient. Hypertonic saline nasal wash is used to prevent nasal secretion in acute/chronic sinusitis and after nasal surgery. We aimed to determine the efficacy of hypertonic saline by comparing the clinician's and patients' experiences during NPL.This prospective, double-blinded, randomized, controlled study was performed at a tertiary referral university hospital. Two hundred patients were randomly divided into hypertonic saline, lidocaine, xylometazoline, and isotonic saline groups. During NPL, the clinician's experiences in terms of the quality of the field of view and the patients' experiences in terms of pain and discomfort resulting from the 4 premedication drugs were compared.The groups differed significantly in terms of the clinician's field of view, and patients' pain scores and levels of discomfort (The use of hypertonic saline facilitated the NPL procedure by improving the clinician's field of view. Moreover, intranasal hypertonic saline reduced the patient's discomfort. Intranasal hypertonic saline can be a good alternative to premedication before NPL. |
| Databáze: | OpenAIRE |
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