1. Reduction of conscious sedation requirements by olfactory stimulation: a prospective randomized single-blinded trial.
- Author
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Puttler K, Jaklic B, Rieg TS, and Lucha PA Jr
- Subjects
- Administration, Inhalation, Anesthesia Recovery Period, Female, Humans, Hypnotics and Sedatives pharmacology, Male, Meperidine administration & dosage, Midazolam administration & dosage, Middle Aged, Oxygen administration & dosage, Prospective Studies, Single-Blind Method, Colonoscopy psychology, Conscious Sedation methods, Hypnotics and Sedatives administration & dosage, Prunus, Smell
- Abstract
Objectives: This study investigated the possibility that olfactory stimulation would decrease sedation needed for colonoscopy and therefore decrease the recovery time needed after conscious sedation., Materials and Methods: Patients were randomized to receive a cherry-flavoredscent in oxygen flowing at a 4 L per minute rate via nasal cannula or oxygen alone. The scent was provided in a cherry-flavored oil. A Bispectral Index (BIS) monitor (Aspect Medical Systems, Newton, MA) was placed and scores were recorded every 5 minutes during the procedure to control for different sedation patterns between different endoscopists. The recovery area nurse was unaware of whether a given patient was in the aroma or plain oxygen group, and based each patient's discharge on preexisting standardized criteria., Results: Two hundred and eighty-four (284) patients completed the study. Both the procedure times and the recovery times were not statistically significant between the two groups. The doses of sedatives used, BIS scores at 5 minute intervals, and rate of change in BIS scores were also not statistically significant between the two groups., Conclusions: Overall, there is no difference between olfactory stimulation and inhaled oxygen with regard to amount of sedation used and recovery times for colonoscopy. An inhaled cherry- scent may not have as great a calming effect as other scents that have been studied.
- Published
- 2009
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