1. Patient self-administered abdominal pressure to reduce loop formation during minimally sedated colonoscopy.
- Author
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Hsieh YH, Tseng KC, and Chou AL
- Subjects
- Adjuvants, Anesthesia administration & dosage, Chi-Square Distribution, Female, Humans, Logistic Models, Male, Meperidine administration & dosage, Middle Aged, Pressure, Prospective Studies, Treatment Outcome, Abdomen, Colonoscopy methods, Conscious Sedation methods, Self Care
- Abstract
Context: Assistant-administered abdominal pressure is usually required to reduce loop formation during a colonoscopy. The effect of patient self-administered abdominal pressure has not been evaluated., Objective: To compare the effectiveness of patient self-administered abdominal pressure with assistant-administered abdominal pressure to reduce loop formation during colonoscopy performed with minimal sedation., Patients: Consecutive patients who underwent colonoscopy were randomized to receive either patient self-administered abdominal pressure (patient group, n = 51) or assistant-administered abdominal pressure (assistant group, n = 52) when looping occurred during colonoscopy minimally sedated with meperidine. When patient-administered abdominal pressure failed to reduce the loop formation, an assistant took over and delivered the abdominal pressure., Results: No difference was found regarding cecal intubation rate, intubation time, mean pain scores, and overall satisfaction of patients between groups. However, fewer patients required assistant-administered pressure in the patient group than in the assistant group (18/51 vs. 41/52, P < 0.001)., Conclusions: Patient self-administered pressure is effective in reducing looping during minimally sedated colonoscopy.
- Published
- 2010
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