dc.contributor.author |
de Silva, A.P. |
|
dc.contributor.author |
Nandamuni, Y. |
|
dc.contributor.author |
Rajapakshe, N.N. |
|
dc.contributor.author |
Nanayakkara, S. |
|
dc.contributor.author |
Perera, K.R. |
|
dc.contributor.author |
Kodisinghe, S.K. |
|
dc.contributor.author |
Subasinghe, S.K.C. |
|
dc.contributor.author |
Niriella, M.A. |
|
dc.contributor.author |
Dassanayake, A.S. |
|
dc.contributor.author |
Pathmeswaran, A. |
|
dc.contributor.author |
de Silva, H.J. |
|
dc.date.accessioned |
2015-12-07T07:07:40Z |
|
dc.date.available |
2015-12-07T07:07:40Z |
|
dc.date.issued |
2015 |
|
dc.identifier.citation |
Proceedings of the Sri Lanka Medical Association, Anniversary Academic Sessions. 2015; 60(sup 1): 147 |
en_US |
dc.identifier.uri |
http://repository.kln.ac.lk/handle/123456789/10623 |
|
dc.description |
Oral Presentation Abstract (OP56), 128th Annual Scientific Sessions, Sri Lanka Medical Association, 6th-8th July 2015 Colombo, Sri Lanka |
en_US |
dc.description.abstract |
INTRODUCTION AND OBJECTIVES: Colonoscopy can cause discomfort and anxiety in patients. Heavy sedation as premedication can lead to complications in elderly and those with co-morbidities. This has led to possible use of audio-visual distraction during the procedure. We compared effects of audio versus visual distraction in reducing discomfort during colonoscopy. METHOD: 131 consecutive patients who underwent colonoscopy were randomized into three groups: allowed to listen to music of their choice during colonoscopy (AD), allowed to watch a film of their choice (VD) and neither as control (C). Patient controlled sedation (PCS) was administered to all three groups; 25 mg pethidine in 5 mg aliquots and 2.5 mg midazolam in 0.5 mg aliquots. All patients were assessed for pain, number of 'top-ups' of sedation, total dose of pethidine and midazolam and patient cooperation and willingness for a repeat procedure. RESULTS: There were 131 patients (AD=43; VD=44; O44). The AD group had significantly less pain and discomfort (p=0.033) compared to VD and Cgroups. There was no significant difference in number of 'top-ups' of sedation, total doses of pethidine and midazolam among the groups. Better patient cooperation (p=0.002) was evident in ADgroup compared with VD and C groups. There was nt> difference between the AD and VD groups in willingness to undergo a repeat procedure. CONCLUSION: Listening to music of your choice during colonoscopy seems to reduce pain and discomfort and increase the patients' cooperation. This may be a useful and simple tool in screening colonoscopy. |
en_US |
dc.language.iso |
en_US |
en_US |
dc.publisher |
Sri lanka Medical Association |
en_US |
dc.subject |
visual distraction |
en_US |
dc.title |
A randomized control study of audio versus visual distraction to reduce patient discomfort during colonoscopy |
en_US |
dc.type |
Article |
en_US |