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Posture influences patient cough rate, sedative requirement and comfort during bronchoscopy: An observational cohort study
OBJECTIVES: To investigate differences between semi-recumbent and supine postures in terms of cough rate, oxygen desaturation, sedative use, and patient comfort during the initial phase of bronchoscopy. METHODS: Consecutive bronchoscopy patients (n = 69) participated in this observational cohort stu...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3226548/ https://www.ncbi.nlm.nih.gov/pubmed/22074355 http://dx.doi.org/10.1186/1745-9974-7-9 |
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author | Ling, Ivan T Piccolo, Francesco Mulrennan, Siobhain A Phillips, Martin J |
author_facet | Ling, Ivan T Piccolo, Francesco Mulrennan, Siobhain A Phillips, Martin J |
author_sort | Ling, Ivan T |
collection | PubMed |
description | OBJECTIVES: To investigate differences between semi-recumbent and supine postures in terms of cough rate, oxygen desaturation, sedative use, and patient comfort during the initial phase of bronchoscopy. METHODS: Consecutive bronchoscopy patients (n = 69) participated in this observational cohort study. Posture was determined by the bronchoscopist's usual practice. Patient demographics, spirometry, pulse, and SpO(2 )were recorded. The initial phase was defined as the time from bronchoscopy insertion to visualisation of both distal main bronchi. Cough rate, peak pulse, nadir SpO(2), oxygen supplementation, and sedative use during the initial phase were recorded. A post-procedure questionnaire was administered to the patient and the attending nurse. RESULTS: 36 patients had bronchoscopy in the semi-recumbent posture, 33 in the supine posture. 3 of 5 bronchoscopists performed in both postures. There were no differences in baseline parameters between the groups. The semi-recumbent posture resulted in significantly less cough (mean (SD) 3.6 (2.3) vs. 6.1 (4.5) coughs/min, p = 0.007) and less fentanyl use (70 (29) vs. 88 (28) mcg, p = 0.011) in the initial phase. There were no significant differences in the nadir SpO(2), fall in SpO(2), oxygen supplementation, or increase in pulse rate between the groups. On 100 mm visual analogue scale, nurse perception of patient discomfort was lower in the semi-recumbent position (23 (21) vs. 39 (28) mm, p = 0.01), and there was a trend towards less patient perceived cough in the semi-recumbent group (28 (25) vs. 40 (28) mm, p = 0.06). CONCLUSIONS: Bronchoscopy performed in the semi-recumbent posture results in less cough and sedative requirement, and may improve patient comfort. |
format | Online Article Text |
id | pubmed-3226548 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32265482011-11-30 Posture influences patient cough rate, sedative requirement and comfort during bronchoscopy: An observational cohort study Ling, Ivan T Piccolo, Francesco Mulrennan, Siobhain A Phillips, Martin J Cough Research OBJECTIVES: To investigate differences between semi-recumbent and supine postures in terms of cough rate, oxygen desaturation, sedative use, and patient comfort during the initial phase of bronchoscopy. METHODS: Consecutive bronchoscopy patients (n = 69) participated in this observational cohort study. Posture was determined by the bronchoscopist's usual practice. Patient demographics, spirometry, pulse, and SpO(2 )were recorded. The initial phase was defined as the time from bronchoscopy insertion to visualisation of both distal main bronchi. Cough rate, peak pulse, nadir SpO(2), oxygen supplementation, and sedative use during the initial phase were recorded. A post-procedure questionnaire was administered to the patient and the attending nurse. RESULTS: 36 patients had bronchoscopy in the semi-recumbent posture, 33 in the supine posture. 3 of 5 bronchoscopists performed in both postures. There were no differences in baseline parameters between the groups. The semi-recumbent posture resulted in significantly less cough (mean (SD) 3.6 (2.3) vs. 6.1 (4.5) coughs/min, p = 0.007) and less fentanyl use (70 (29) vs. 88 (28) mcg, p = 0.011) in the initial phase. There were no significant differences in the nadir SpO(2), fall in SpO(2), oxygen supplementation, or increase in pulse rate between the groups. On 100 mm visual analogue scale, nurse perception of patient discomfort was lower in the semi-recumbent position (23 (21) vs. 39 (28) mm, p = 0.01), and there was a trend towards less patient perceived cough in the semi-recumbent group (28 (25) vs. 40 (28) mm, p = 0.06). CONCLUSIONS: Bronchoscopy performed in the semi-recumbent posture results in less cough and sedative requirement, and may improve patient comfort. BioMed Central 2011-11-10 /pmc/articles/PMC3226548/ /pubmed/22074355 http://dx.doi.org/10.1186/1745-9974-7-9 Text en Copyright ©2011 Ling et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Ling, Ivan T Piccolo, Francesco Mulrennan, Siobhain A Phillips, Martin J Posture influences patient cough rate, sedative requirement and comfort during bronchoscopy: An observational cohort study |
title | Posture influences patient cough rate, sedative requirement and comfort during bronchoscopy: An observational cohort study |
title_full | Posture influences patient cough rate, sedative requirement and comfort during bronchoscopy: An observational cohort study |
title_fullStr | Posture influences patient cough rate, sedative requirement and comfort during bronchoscopy: An observational cohort study |
title_full_unstemmed | Posture influences patient cough rate, sedative requirement and comfort during bronchoscopy: An observational cohort study |
title_short | Posture influences patient cough rate, sedative requirement and comfort during bronchoscopy: An observational cohort study |
title_sort | posture influences patient cough rate, sedative requirement and comfort during bronchoscopy: an observational cohort study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3226548/ https://www.ncbi.nlm.nih.gov/pubmed/22074355 http://dx.doi.org/10.1186/1745-9974-7-9 |
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