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Timing of co-phenylcaine administration before rigid nasendoscopy: a randomized, controlled trial

Published online by Cambridge University Press:  15 August 2006

D D Pothier ,
C E J Hall ,
S Gillett  and
P Nankivell
D D Pothier
Affiliation:
Department of ENT, Royal United Hospital, Bath, UK
C E J Hall
Affiliation:
Department of ENT, Royal United Hospital, Bath, UK
S Gillett
Affiliation:
Department of ENT, Royal United Hospital, Bath, UK
P Nankivell
Affiliation:
Department of ENT, Royal United Hospital, Bath, UK
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Abstract

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Rigid nasendoscopy is a commonly used method of examining the nasal cavity and postnasal space. Co-phenylcaine is useful for its vasoconstrictive and anaesthetic properties, but the length of time allowed for it to take effect is variable. We performed a single-blind, randomized, controlled trial to determine whether it was better to allow one or 10 minutes for co-phenylcaine to take effect. Fifty patients were randomized into two groups, 25 in each. Patients in the 10 minute group experienced less discomfort (p=0.02) and less pain (p=0.018) than those in the one minute group. Ease of examination was also greater in the 10 minute group, as was the quality of the image obtained (p<0.001).

Keywords

Nasal CavityAnaesthetics, LocalEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 3 , March 2007 , pp. 228 - 230
Copyright
2006 JLO (1984) Limited