Literature DB >> 26504509

Unsedation colonoscopy can be not that painful: Evaluation of the effect of "Lamaze method of colonoscopy".

Shao-Ping Yu1, Xiao-Dong Lin1, Guang-Yao Wu1, Song-Hu Li1, Zong-Quan Wen1, Xiao-Hong Cen1, Xian-Guang Huang1, Mei-Ting Huang1.   

Abstract

AIM: To evaluate the pain relieving effect of intervention with "Lamaze method of colonoscopy" in the process of colonoscopy.
METHODS: Five hundred and eighty-five patients underwent colonoscopy were randomly divided into three groups, Lamaze group, anesthetic group and control group. Two hundred and twenty-four patients of Lamaze group, the "Lamaze method of colonoscopy" were practiced in the process of colonoscopy. The Lamaze method of colonoscopy is modified from the Lamaze method of childbirth, which helped patients to relieve pain through effective breathing control. One hundred and seventy-eight patients in anesthetic group accepted sedation colonoscopy. For 183 patients in control group, colonoscopy was performed without any intervention. The satisfactory of colon cleaning, intestinal lesions, intubation time, success ratio, pain grading and complications were recorded. All data were statistically analyzed.
RESULTS: There were no significant differences at base line of the three groups (P > 0.05). Anesthetic group shows advantage in intubation time than the other two groups (P < 0.05). Lamaze group shows no advantage in intubation time than that in control group (P > 0.05). The anesthetic group showed an apparent advantage in relieving pain (P < 0.01). Therefore, the "Lamaze method of colonoscopy" performed in colonoscopy could relieve pain effectively comparing with control group (P < 0.05). The patients in anesthetic group had the highest incidence of complications (P < 0.05).
CONCLUSION: The performance of the "Lamaze method of colonoscopy" in the process of colonoscopy could relieve patients' pain, minimize the incidence of complications, and is worthy promotion in clinical practice.

Entities:  

Keywords:  Colonoscopy; Lamaze technique; No sedation; Pain

Year:  2015        PMID: 26504509      PMCID: PMC4613809          DOI: 10.4253/wjge.v7.i15.1191

Source DB:  PubMed          Journal:  World J Gastrointest Endosc


  18 in total

1.  Adverse events during monitored anesthesia care for GI endoscopy: an 8-year experience.

Authors:  Massimo Agostoni; Lorella Fanti; Marco Gemma; Nicola Pasculli; Luigi Beretta; Pier Alberto Testoni
Journal:  Gastrointest Endosc       Date:  2011-06-25       Impact factor: 9.427

2.  Conscious analgesia/sedation with remifentanil and propofol versus total intravenous anesthesia with fentanyl, midazolam, and propofol for outpatient colonoscopy.

Authors:  Robert Rudner; Przemyslaw Jalowiecki; Piotr Kawecki; Maciej Gonciarz; Aldona Mularczyk; Michal Petelenz
Journal:  Gastrointest Endosc       Date:  2003-05       Impact factor: 9.427

3.  Warm water infusion versus air insufflation for unsedated colonoscopy: a randomized, controlled trial.

Authors:  Franco Radaelli; Silvia Paggi; Arnaldo Amato; Vittorio Terruzzi
Journal:  Gastrointest Endosc       Date:  2010-10       Impact factor: 9.427

Review 4.  Methods of reducing discomfort during colonoscopy.

Authors:  Felix W Leung
Journal:  Dig Dis Sci       Date:  2008-06       Impact factor: 3.199

Review 5.  Sedation in gastrointestinal endoscopy: current issues.

Authors:  John K Triantafillidis; Emmanuel Merikas; Dimitrios Nikolakis; Apostolos E Papalois
Journal:  World J Gastroenterol       Date:  2013-01-28       Impact factor: 5.742

6.  Sedation methods can determine performance of endoscopic submucosal dissection in patients with gastric neoplasia.

Authors:  Chan Hyuk Park; Jae Hoon Min; Young-Chul Yoo; Hyunzu Kim; Dong Hoo Joh; Jung Hyun Jo; Suji Shin; Hyuk Lee; Jun Chul Park; Sung Kwan Shin; Yong Chan Lee; Sang Kil Lee
Journal:  Surg Endosc       Date:  2013-02-07       Impact factor: 4.584

7.  Self-report and psychophysiological effects of Lamaze preparation: an analogue of labor pain.

Authors:  E Geden; N C Beck; G Brouder; J Glaister; S Pohlman
Journal:  Res Nurs Health       Date:  1985-06       Impact factor: 2.228

Review 8.  Effect of music on patients undergoing colonoscopy: a meta-analysis of randomized controlled trials.

Authors:  Matthew L Bechtold; Srinivas R Puli; Mohamed O Othman; Christopher R Bartalos; John B Marshall; Praveen K Roy
Journal:  Dig Dis Sci       Date:  2008-05-16       Impact factor: 3.199

9.  Factors influencing patient satisfaction when undergoing endoscopic procedures.

Authors:  Hin Hin Ko; Hongbin Zhang; Jennifer J Telford; Robert Enns
Journal:  Gastrointest Endosc       Date:  2009-01-18       Impact factor: 9.427

10.  Predictive factors affecting cecal intubation failure in colonoscopy trainees.

Authors:  Hong-Jun Park; Jin-Heon Hong; Hyun-Soo Kim; Bo-Ra Kim; So-Yeon Park; Ki-Won Jo; Jae-Woo Kim
Journal:  BMC Med Educ       Date:  2013-01-19       Impact factor: 2.463

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  1 in total

1.  Modified Lamaze Breathing Reduces Abdominal Pain in Patients during Colonoscopy.

Authors:  Fuqun Wang; Shizhen Wen; Jing Chen; Liwen Du; Juncheng Zeng
Journal:  Comput Math Methods Med       Date:  2022-07-26       Impact factor: 2.809

  1 in total

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