C41 The effect of intraurethral 2% lidocain gel duration time in the urethra to VAS (Visual Analogue Scale) scores pre-diagnostic cystoscopy

AbstractIntroduction:This double-blind, controlled, parallel-group study was designed to determine the efficacy of pre-emptive triple analgesia for paediatric post-tonsillectomy pain management.Materials and methods:One hundred and thirty-five children were randomised into two groups: pre-emptive triple analgesia (n = 55) and control (n = 80). Pain was assessed using a visual analogue scale (in hospital) and the Parent's Postoperative Pain Measure (at home), and scores recorded.Results:Visual analogue scale scores on awakening and for 6 hours post-surgery were significantly better in the study group than the control group (p < 0.05). The Parent's Postoperative Pain Measure scores of control group children were significantly higher within the first 3 post-operative days (p = 0.000), with a greater percentage of children experiencing significant pain and requiring more analgesia.Conclusion:The proposed multimodal, pre-emptive analgesia protocol for paediatric post-tonsillectomy pain results in less post-operative pain, both in hospital or at home.

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A Comparative Analysis of the Results of Vertebroplasty and Kyphoplasty in Osteoporotic Vertebral Compression Fractures

Operative Neurosurgery ◽

10.1227/01.neu.0000380936.00143.11 ◽

2010 ◽

Vol 67 (3) ◽

pp. ons171-ons188 ◽

Cited By ~ 26

Author(s):

Krishna Kumar ◽

Rita Nguyen ◽

Sharon Bishop

Keyword(s):

Visual Analogue Scale ◽

Health Survey ◽

Oswestry Disability Index ◽

Analogue Scale ◽

Short Form ◽

Vertebral Compression Fractures ◽

Short Form 36 ◽

Scale Scores ◽

Euroqol 5D

Abstract BACKGROUND: The most common complication of osteoporosis is vertebral fractures, which occur more frequently than all other fractures (hip, wrist, and ankle). OBJECTIVE: To prospectively analyze vertebroplasty compared with kyphoplasty for the treatment of osteoporotic vertebral compression fractures using improvement in pain, functional capacity, and quality of life as outcome measures. METHODS: The study population included 28 patients in the vertebroplasty group and 24 patients in the kyphoplasty group. The mean follow-up period was 42.2 weeks and 42.3 weeks in the vertebroplasty and kyphoplasty groups, respectively. Outcomes were measured pre- and postoperatively using the visual analogue scale, the Oswestry Disability Index, the EuroQol-5D questionnaire, and the Short-Form 36 Health Survey. RESULTS: In the vertebroplasty group, visual analogue scale scores improved from a mean of 8.0 cm to 5.5 cm at last follow-up (P = .001). Preoperatively, the Oswestry Disability Index was 57.6, which improved to 38.4 (P = .006). The EuroQol-5D score preoperatively was 0.157 and improved to 0.504 (P = .001). The Short-Form 36 Health Survey showed greatest improvement in the areas of physical health, role physical, body pain, and vitality. In the kyphoplasty group, visual analogue scale scores improved from a mean of 7.5 cm preoperatively to 2.5 cm postoperatively (P = .000001). The mean Oswestry Disability Index preoperatively was 50.7 and improved to 28.8 (P = .002). The EuroQol-5D score improved from a mean of 0.234 preoperatively to 0.749 (P = .00004). The Short-Form 36 Health Survey showed greatest improvement in the areas of physical health, physical functioning, role physical, body pain, and social functioning. CONCLUSION: Both vertebroplasty and kyphoplasty are effective at improving pain, functional disability, and quality of life; however, kyphoplasty provides better results, which are maintained over long-term follow-up.

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Evaluation of a nasal surgical questionnaire designed for monitoring surgical outcomes and comparing different techniques

The Journal of Laryngology & Otology ◽

10.1017/s0022215115001188 ◽

2015 ◽

Vol 129 (7) ◽

pp. 656-661 ◽

Cited By ~ 4

Author(s):

R Haye ◽

L K Døsen ◽

O Shiryaeva ◽

E Amlie

Keyword(s):

Visual Analogue Scale ◽

Nasal Obstruction ◽

Surgical Outcomes ◽

Analogue Scale ◽

Initial Assessment ◽

Nasal Surgery ◽

Nasal Symptoms ◽

Scale Scores ◽

Minimum Interval ◽

Obstruction Severity

AbstractObjective:This study evaluated a nasal surgical questionnaire designed for monitoring surgical outcomes and comparing different techniques.Methods:Eighty-three healthy volunteers answered the same questionnaire twice with a minimum interval of five weeks. Three visual analogue scale items were used to assess nasal obstruction during the day, at night and during exercise. Respondents rated nasal obstruction severity by marking on a 10 cm line, with scores ranging from 0 to 100 (measured in millimetres). Other nasal symptoms, considered secondary outcomes, were graded using four-point Likert scales.Results:Mean visual analogue scale scores for nasal obstruction severity experienced during the day, at night and during exercise at initial assessment were 9.99, 12.95 and 11.67, respectively. Thirty-eight per cent of scores indicated no obstruction (scores of 0), 47 per cent indicated mild obstruction (scores 1–30), 13 per cent indicated moderate obstruction (scores 31–70) and 2 per cent indicated severe obstruction (scores 71–100). Males had higher scores than females. The scores for the first and second assessment did not differ, except at night for obstruction in allergic individuals which was considered clinically unimportant.Conclusion:The questionnaire reliably assesses nasal symptoms and may be useful for prospective studies of nasal surgery.

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Risk of decline and chance of improvement in olfaction among patients with post-traumatic olfactory loss

The Journal of Laryngology & Otology ◽

10.1017/s0022215115002911 ◽

2015 ◽

Vol 129 (12) ◽

pp. 1201-1207 ◽

Cited By ~ 2

Author(s):

C-L Kuo ◽

C-H Shu

Keyword(s):

Logistic Regression ◽

Visual Analogue Scale ◽

Test Scores ◽

Odds Ratio ◽

Analogue Scale ◽

Management Strategies ◽

Olfactory Dysfunction ◽

Olfactory Loss ◽

Scale Scores ◽

Post Traumatic

AbstractObjective:To evaluate the chance of improvement and risk of decline in olfaction among patients with post-traumatic olfactory loss.Methods:This study comprised 80 patients. Changes in olfaction were determined using a visual analogue scale and the ‘Sniffin’ Sticks' test. Logistic regression was used to identify predictors for olfactory changes.Results:Olfactory changes were observed in 9–35 per cent of patients. The rates of improvement and decline according to visual analogue scale scores were 35 per cent and 10 per cent respectively, whereas those in the Sniffin’ Sticks test were 9 per cent and 11 per cent respectively. There was a predictive link between non-anosmia and decline in Sniffin’ Sticks test scores (odds ratio = 16.61,p= 0.003). A positive correlation was observed between the scores in the first and last examinations (rho = 0.532,p< 0.001).Conclusion:Patients should be informed that they may experience an improvement or decline in olfaction following post-traumatic olfactory dysfunction. This study provides evidence to support comprehensive counselling regarding prognosis as an integral part of management strategies.

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Local Anesthetic Administration for Awake Direct Laryngoscopy

Anesthesiology ◽

10.1097/00000542-199701000-00006 ◽

1997 ◽

Vol 86 (1) ◽

pp. 34-40 ◽

Cited By ~ 18

Author(s):

Todd B. Sitzman ◽

George F. Rich ◽

Jeffrey J. Rockwell ◽

George S. Leisure ◽

Marcel E. Durieux ◽

...

Keyword(s):

Clinical Practice ◽

Visual Analogue Scale ◽

Local Anesthetic ◽

Direct Laryngoscopy ◽

Analogue Scale ◽

Glossopharyngeal Nerve ◽

Block Group ◽

Nerve Blocks ◽

Scale Scores ◽

Lidocaine Spray

Background Glossopharyngeal nerve (GPN) blocks may provide reliable analgesia for awake direct laryngoscopy, although this has not been evaluated prospectively. This study was designed to determine if GPN blocks provide a superior route of local anesthetic administration for awake direct laryngoscopy as measured by hemodynamic, gag, and subjective pain responses. Methods A prospective, randomized, single-blinded, crossover design was used. All participants (n = 11) were anesthesiologists. Three routes of local anesthetic administration were evaluated: 2 min of 2% viscous lidocaine swish and gargle (S&G); S&G combined with 10% lidocaine spray (S&G/spray); and S&G combined with 1% lidocaine bilateral GPN blocks (S&G/block; anterior tonsillar pillar method). Five minutes after the local anesthetic was administered, laryngoscopy was performed and sustained for 20 s. Noninvasive hemodynamic measurements and serum lidocaine concentrations were determined. Visual analogue scale scores and a poststudy questionnaire were used to assess participants' ability to tolerate local anesthetic administration and laryngoscopy and their choice for use in clinical practice. Results No significant hemodynamic changes were observed, although there was a modest increase (< 15%) in heart rate in the S&G/block group in the first minute after laryngoscopy. Serum lidocaine concentrations were higher (P < 0.05) in the S&G/block group at 5 and 10 min (0.5 +/- 0.1 and 1.0 +/- 0.2 microgram/ml) compared with the S&G group. Participants' visual analogue scale scores, which assessed their ability to tolerate laryngoscopy, showed that S&G (5.4 +/- 0.9) resulted in more discomfort (P < 0.05) than either S&G/spray (3.5 +/- 0.9) or S&G/block (3.3 +/- 0.7). The laryngoscopist's visual analogue scale scores, which assessed the ease of visualization, revealed a trend (P < 0.08) toward less coughing and gagging with S&G/spray (1.8 +/- 0.9) compared with S&G (4.0 +/- 1.3) and S&G/block (3.7 +/- 1.1). Oropharyngeal discomfort lasting 24 h or more was reported by 91% of participants after S&G/block, whereas no participant reported oropharyngeal discomfort after S&G or S&G/spray. Significantly more participants (73%) indicated their preference for using S&G/spray in future clinical practice compared with S&G (P < 0.01) and S&G/block (P < 0.05). Conclusions Glossopharyngeal nerve blocks do not provide a superior route of local anesthetic administration for awake direct laryngoscopy. Two minutes of 2% viscous lidocaine S&G followed by 10% lidocaine spray was the anesthetic route preferred by participants and laryngoscopists.

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Ultrasound-guided fine-needle aspiration cytology of lesions in the head and neck performed without local anaesthesia – An analysis of pain perception

Ultrasound ◽

10.1177/1742271x18780137 ◽

2018 ◽

Vol 26 (4) ◽

pp. 222-228 ◽

Cited By ~ 1

Author(s):

Nicholas Drage ◽

Christopher Greenall ◽

Damian JJ Farnell

Keyword(s):

Visual Analogue Scale ◽

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Analogue Scale ◽

Needle Aspiration ◽

Ultrasound Guided ◽

Aspiration Cytology ◽

Fine Needle ◽

Scale Scores ◽

Needle Aspiration Cytology

Introduction Ultrasound-guided fine-needle aspiration cytology is commonly carried out in the head and neck. The aim was to examine the amount of pain experienced by patients undergoing this procedure carried out without the use of local anaesthetic. Methods A questionnaire was given to 109 consecutive patients undergoing ultrasound-guided fine-needle aspiration cytology containing a visual analogue scale. Patients were asked to mark with a vertical line on the 100 mm horizontal scale amount of pain they experienced during the biopsy. The pain was subsequently categorised as ‘no pain’, ‘mild pain’, ‘moderate pain’ or ‘severe pain’ based on previous pain studies. Results Hundred patients completed the visual analogue scale section of the questionnaire satisfactorily. Twenty-one patients experienced no pain, 62 experienced mild pain and 17 experienced moderate pain. No patients experienced severe pain. Further analysis showed that females had significantly higher visual analogue scale scores (Mann–Whitney test: U = 925.5, z = 2.211, P = 0.027). Patients who were aware that they were going to have a biopsy had significantly lower visual analogue scale scores than those who were not aware (Mann–Whitney test: U = 859.5, z = 2.263, P = 0.024). Conclusions Ultrasound-guided fine-needle aspiration cytology is generally a well-tolerated procedure with pain scores being higher in females. It is advised that patients are told by the referring clinician the need for biopsy as this reduces the amount of pain experienced.

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Laparoendoscopic Single-Site Hysterectomy: A Single Surgeon Experience in a Tertiary Hospital

Gynecology Obstetrics and Reproductive Medicine ◽

10.21613/gorm.2018.812 ◽

2018 ◽

pp. 1

Author(s):

Gokhan Demirayak ◽

Onur Guralp ◽

Mustafa Yildiz ◽

Cihan Comba ◽

Veli Mihmanli ◽

...

Keyword(s):

Postoperative Complications ◽

Visual Analogue Scale ◽

Analogue Scale ◽

Single Site ◽

Total Hysterectomy ◽

Laparoendoscopic Single Site ◽

Estimated Blood Loss ◽

Port Site Hernia ◽

Scale Scores ◽

The Mean

Objective: To evaluate the clinical and surgical outcomes of the total hysterectomy cases performed with the laparoendoscopic single site surgery.Study Design: A total of 24 women who underwent total hysterectomy by the laparoendoscopic single site technique due to benign gynecological disorders were retrospectively evaluated. The duration of the operation, estimated blood loss, weight of the uterus, intra- and postoperative complications, pre- and postoperative day 1 hemoglobin and hematocrit levels, postoperative 6- and 24-hour visual analogue scale scores, duration of hospital stay, and postoperative complications were evaluated.Results: The mean total operation time was 112.1±24 minutes. The average time between the umbilical incision and starting the hysterectomy was 10±2.1 minutes. Estimated blood loss was 50±25 ml. The average duration of the hospital stay was 1.5±0.4 days. The mean uterus weight was 135 g. The mean difference between the pre- and postoperative hemoglobin values was 1.1 g/dl. The mean visual analogue scale scores were 4.1 (0-7) and 1.9 (0-4) in 6- and 24-hour postoperative periods. None of the women had an intraoperative complication. One patient (4.2%) had a port site hernia 6 months after the operation.Conclusion: The total hysterectomy with laparoendoscopic single site technique is a reasonable method in selected patients with similar safety and feasibility, especially for women who prefer a single incision in umbilicus. The patient should be informed before the operation about potential complications such as a port-site hernia.

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Effects of Dexmedetomidine on Intraoperative Hemodynamics, Recovery Profile and Postoperative Pain in Patients Undergoing Laparoscopic Cholecystectomy: A Randomized Controlled Trial

10.21203/rs.3.rs-103750/v1 ◽

2020 ◽

Author(s):

Qin Ye ◽

Fangjun Wang ◽

Hongchun Xu ◽

Le Wu ◽

Xiaopei Gao

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Laparoscopic Cholecystectomy ◽

Postoperative Pain ◽

Visual Analogue Scale ◽

Systolic Blood Pressure ◽

Analogue Scale ◽

Hemodynamic Stability ◽

Scale Scores ◽

Respiratory Recovery

Abstract Background: To investigate the optimal dose of dexmedetomidine to maintain hemodynamic stability, prevent of cough and minimize postoperative pain for patients undergoing laparoscopic cholecystectomy.Methods: 120 patients were randomly divided into D1, D2, D3 and NS groups, and dexmedetomidine 0.4, 0.6, 0.8ug/kg and normal saline were administrated respectively. Patients' heart rate, systolic blood pressure and diastolic blood pressure were measured at T1-T7. The incidence of cough was recorded. Other parameters were noted, the time of spontaneous respiratory recovery and extubation, visual analogue scale scores and dosage of tramadol.Results: The heart rate, systolic blood pressure and diastolic blood pressure of D2 and D3 groups has smaller fluctuations at T2-3 and T7 compared with NS and D1 groups (P < 0.05). The incidence of cough was lower in D2 and D3 groups than NS group (P < 0.05). The visual analogue scale scores and tramadol dosage of D2 and D3 groups were lower than NS group (P < 0.05). The time of spontaneous respiratory recovery and extubation in D3 group was longer than that in D1 and D2 groups (P < 0.05). Conclusions: Intravenous infusion of 0.6ug/kg dexmedetomidine before induction can maintain hemodynamic stability, decrease cough during emergence, relieve postoperative pain of patients undergoing laparoscopic cholecystectomy.Trial registration: ChiCTR1900024801, registered at the Chinese Clinical Trial Registry, principal investigator: Qin Ye, date of registration: July 28, 2019.

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Good correlation between visual analogue scale and numerical rating scale in the assessment of nasal obstruction

The Journal of Laryngology & Otology ◽

10.1017/s0022215118000257 ◽

2018 ◽

Vol 132 (4) ◽

pp. 327-328 ◽

Cited By ~ 4

Author(s):

R Haye ◽

L K Døsen ◽

M Tarangen ◽

O Shiryaeva

Keyword(s):

Visual Analogue Scale ◽

Nasal Obstruction ◽

Analogue Scale ◽

Rating Scale ◽

Numerical Rating Scale ◽

Telephone Interviews ◽

Septal Surgery ◽

Significant Difference ◽

Scale Scores ◽

Numerical Rating

AbstractObjective:Results from telephone interviews may be needed to supplement those from mailed questionnaires when response rates are inadequate. This study assessed the correlation between visual analogue scale ratings used in mailed questionnaires and numerical rating scale scores used in telephone interviews.Methods:Patients scheduled for nasal septal surgery routinely respond to a visual analogue scale of obstruction during the day and at night. In this study, they were also asked to verbally rate their sense of obstruction using whole numbers.Results:There was no significant difference between visual analogue scale and numerical rating scale obstruction scores.Conclusion:Ratings of nasal obstruction obtained with a numerical rating scale in telephone interviews are comparable to visual analogue scale scores in mailed questionnaires.

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Comparing tolerability of local anaesthetic transperineal and transrectal prostate biopsies

Journal of Clinical Urology ◽

10.1177/20514158211024075 ◽

2021 ◽

pp. 205141582110240

Author(s):

Benjamin Starmer ◽

Nic Iordan ◽

John McCabe

Keyword(s):

Visual Analogue Scale ◽

Local Anaesthetic ◽

Analogue Scale ◽

Specific Antigen ◽

Transrectal Ultrasound ◽

Level Of Evidence ◽

Prostate Biopsies ◽

Transrectal Biopsy ◽

Scale Scores ◽

Transperineal Biopsy

Objectives: Local anaesthetic transperineal prostate biopsies have been demonstrated as tolerable. However, to date, the tolerability has not been directly compared to the standard of care for transrectal biopsy. We set out to prospectively compare the tolerability of local anaesthetic transperineal and transrectal prostate biopsies. Patients and methods: All patients between 3 April 2019 to 6 December 2019 undergoing local anaesthetic transperineal / transrectal ultrasound biopsy were prospectively asked to complete a questionnaire using visual analogue scales assessing the tolerability of their biopsy. Results: 108 patients were included. Baseline characteristics (mean): age 66.4 years, prostate-specific antigen 13.7 ng/dl, prostate volume 48 ml. Of the patients 51% had ⩾ Gleason 3+4 prostate cancer. 56 patients had transperineal and 52 patients had transrectal biopsy. Median visual analogue scale scores (0–9: transperineal vs transrectal) for probe insertion, probe presence, local anaesthetic injection and taking biopsy were 3 vs 4 ( p=0.66), 3 vs 3 ( p=0.91), 3 vs 2 ( p=0.15) and 3 vs 3 ( p=0.18), respectively. Median visual analogue scale scores (0–3) for overall pain, embarrassment and how they would describe it to a friend were 1 vs 1 ( p=0.17), 0 vs 0 ( p=0.34) and 1 vs 1 ( p=0.2), respectively (transperineal vs transrectal ultrasound). 42 of the 56 patients in the transperineal group had prior transrectal biopsy. 24/42 patients described local anaesthetic transperineal biopsy as the same or better than transrectal; 15/42 described it as a little worse. Conclusion: Tolerability of local anaesthetic transperineal biopsy is comparable to transrectal biopsy. As such, we advocate the routine use of transperineal biopsy and to phase out the transrectal approach where possible. Level of evidence: 2b

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