The use of visual distraction to improve the tolerability of flexible laryngoscopy

The Journal of Laryngology and Otology
T C BiggsN N Patel

Abstract

Flexible laryngoscopy is a commonly performed procedure in otolaryngology. Although this procedure is not considered painful, many patients describe it as uncomfortable. This study investigated the role of visual distraction as a form of pain relief during flexible laryngoscopy. The study included patients undergoing flexible laryngoscopy at the University Hospital Southampton. Patients were self-allocated to one of four groups: with or without co-phenylcaine anaesthetic spray; and with and without visual distraction. Visual distraction involved the patient watching the procedure concurrently with the clinician, via a video monitor. Pre- and post-procedural discomfort was assessed using a visual analogue scale. The use of topical anaesthetic spray was not associated with significantly reduced discomfort scores (p > 0.05). Discomfort scores were significantly reduced in the visual distraction groups (p = 0.04), irrespective of the use of topical anaesthetic spray. This small study showed that visual distraction should be considered as a simple and cost-effective alternative to local anaesthetic for flexible laryngoscopy.

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Citations

Sep 5, 2018·The Journal of Laryngology and Otology·Musheer HussainJonathan Fishman
Jul 14, 2019·Journal of Physics. Condensed Matter : an Institute of Physics Journal·N D WoodsP J Hasnip
Mar 5, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Susanne FleischerMarkus Hess
Jun 23, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Christina M Parducci, Jason E Cohn

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