Comparing the Efficacy of 'Spray as You Go' Technique Versus Combined Airway Nerve Block and 'Spray as You Go' as Topical Anesthesia During Flexible Bronchoscopy; a Double-Blinded Randomized Clinical Trial
| Autor: | Effat Rafiei, Omalbanin Paknejad, Negar Eftekhar, Oveis Salehi, Parisa Rashidi, Marsa Gholamzadeh, Mehrnaz Asadi Gharabaghi |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Acta Medica Iranica, Vol 61, Iss 12 (2024) |
| Druh dokumentu: | article |
| ISSN: | 0044-6025 1735-9694 |
| DOI: | 10.18502/acta.v61i12.16370 |
| Popis: | Flexible bronchoscopy is employed to diagnose a range of respiratory disorders. Local airway anesthesia is mandatory to facilitate tracheal intubation. It is commonly done by injection of diluted lidocaine through working channel of bronchoscope via Spray-as-you-go (SAYGO) method. Other methods such as airway nerve block (ANB) by direct injection of lidocaine are also used to increase patient comfort. The aim of this study was to compare patient and physician satisfaction during bronchoscopy in two groups receiving SAGO alone versus combination of SAYGO and ANB. In a double-blinded randomized clinical trial, 68 patients undergoing bronchoscopy were divided into two groups. The first group received local anesthesia solely through the SAYGO method, while the second group received a combination of SAYGO and ANB. Both groups received intravenous sedation. The anesthesia level was assessed using Ramsay score. Patient and physician satisfaction with bronchoscopy was evaluated on a numeric scale of 1 to 5. Combination of ANB and SAYGO resulted in significantly higher satisfaction score both in physician [3.4±1.6 and 4.6±0.8] and patients [3.5±1.3 and 4.9±0.4] (P |
| Databáze: | Directory of Open Access Journals |
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