A jet nebuliser for delivery of topical anaesthesia to the respiratory tract A comparison with cricothyroid puncture and direct spraying for fibreoptic bronchoscopy

Isaac, P. A.; Barry, Josephine; Vaughan, R. S.; Rosen, Michael J.

doi:10.1111/j.1365-2044.1990.tb14504.x

Cited by 36 publications

(20 citation statements)

References 3 publications

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“…VAS score of satisfaction and comfort had been widely used for evaluation of the use of sedation and local anaesthesia in bronchoscopy in various studies and showed good short-term reproducibility. 9–11,13 Once the patients were fully alert and conscious (usually after 2 hours), we recorded their tolerability for the procedure using VAS to assess their satisfaction and comfort. The VAS of satisfaction and comfort in this study was depicted on a 10 cm horizontal straight line.…”

Section: Visual Analogue Scale and Cough Assessmentmentioning

confidence: 99%

“…8 Current literature on patient satisfaction towards FFB have mainly focused on comparing satisfaction using different methods of applying local anaesthesia during the procedure. 9–11 Some studies were performed to compare the effect of sedation towards suppression of cough reflex and patient satisfaction. 12,13 The majority of these studies used a patient and bronchoscopist visual analogue scale (VAS) score of satisfaction or tolerance as measurement for satisfaction and efficacy of FFB.…”

Section: Introductionmentioning

confidence: 99%

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Can a bronchoscopist reliably assess a patient's experience of bronchoscopy?

et al. 2010

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ObjectivesBronchoscopy is an essential investigative tool in many respiratory complaints. The procedure can be unpleasant for both bronchoscopists and patients. To the best of our knowledge, there are only a few studies that correlate the bronchoscopist's satisfaction with that of the patient's during bronchoscopy. The aim of our study is to assess whether or not a bronchoscopist could reliably assess a patient's satisfaction during bronchoscopy.DesignCross-sectional, observational study with convenience sampling.SettingPatients attending flexible fibreoptic bronchoscopy appointments at the bronchoscopy suite, Respiratory Unit, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Cheras, Kuala Lumpur, Malaysia between March and September 2006.ParticipantsSixty patients undergoing bronchoscopy over a 6-month period completed a questionnaire after the procedure. All patients received standard pre-medication with intravenous midazolam.Main outcome measuresBronchoscopists and patients rated the level of satisfaction of the procedure using a 10 cm visual analogue scale (VAS). Lower scores indicated better satisfaction or less discomfort. Patients and bronchoscopists also rated coughing, choking and vomiting perception using the same 10 cm VAS. Reliability analysis (intra-class correlation coefficient [ICC]) was used to analyse the correlation between patients' and bronchoscopists' VAS scores.ResultsAll 60 patients answered the questionnaire. The median overall satisfaction scored by bronchoscopists was 2.2 (2.0) with a non-significant (p = 0.880) trend to a better median overall satisfaction of 1.9 (2.3) scored by patients. The VAS scores for cough sensation were 1.9 (2.7) and 1.5 (5.0), respectively. There was positive correlation between bronchoscopists' and patients' VAS scores for coughing sensation (p = 0.047, ICC = 0.233). No significant correlation for overall satisfaction, vomiting sensation and choking sensation was found.ConclusionPositive correlation for cough perception suggested that the bronchoscopist could reliably assess the degree of cough discomfort patients experience during bronchoscopy.

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Section: Visual Analogue Scale and Cough Assessmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Can a bronchoscopist reliably assess a patient's experience of bronchoscopy?

et al. 2010

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“…[1][2][3] No particular technique has proved itself to be consistently better than the other. However, patient cooperation is essential for the procedure to proceed smoothly.…”

Section: Discussionmentioning

confidence: 99%

Randomized Comparison of 2 Different Methods of Intrabronchial Lidocaine Delivery During Flexible Bronchoscopy

MacDougall

J²,

Munavvar³

2011

Journal of Bronchology &Amp; Interventional Pulmonology

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“…Prior to intubation, upper airway is commonly anaesthetized by lignocaine spray while larynx and lower respiratory tract is anaesthetised by spraying lignocaine directly down the fiberscope side port by spray-as-you-go technique. [7][8][9] The spray-as-you-go technique involves local anaesthetic application while advancing the tip of the fibrescope. The spray-asyou-go technique using fiberoptic bronchoscope provides flexibility in selectively anaesthetizing respiratory passages.…”

Section: Introductionmentioning

confidence: 99%