CNA509 Assessment 2: Presentation by Keshia Whitehead
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Lignocaine 2% gel for Flexible Cystoscopy
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- Procedure:FLEXIBLECYSTOSCOPY
- Local please!
- Is it better to wait 3 minutes for the Lignocaine to work or can the surgeon proceed with the cystoscope immediately ?
- What is going to be more comfortable for me?
- 3 mins
- A randomised prospective clinical trial of 50 male patients undergoing a flexible cystoscopy
- Lets find out!Does waiting after insertion of topical anaesthetic lubricant improve patient comfort?
- Topical anaesthetic lubricant: Lignocaine 2% gel. (Manufacturer’s recommendation of 3-5 min delay.)
- 25men receiving 20ml localwithno delay in cystoscopeinsertion.
- 25 men with initial10ml local then a3 minutewaitfollowed by another 10mls thencystoscope.
- How sore were you when the cystoscope was inserted?[100mm visual analogue scale]
- Mean pain score difference: 1.24mmno delay=11.94mmwith delay=10.52mm
- Post procedure
- From this, one could say comfort levels are similar and there’s no need to wait?...
- Yes. The trial indicates the pain score is low and flexible cystoscopy is a tolerable procedure so there is no need to delay.
- also, food for thought! Those that had to wait might have even felt more anxious from the delay. This could have affected their comfort level too!
- Just remember that using topical anaesthetic lubricant reduces pain compared to regular lubricant. So always use some!
- Losco, G, Antoniou, S, Mark, S 2011 “Male flexible cystoscopy: does waiting after insertion of topical anaesthetic lubricant improve patient comfort?”, BJU International, vol. 108, no. 2, pp. 42-44, viewed 10 September 2019, PubMed,
- <https://www.ncbi.nlm.nih.gov/pubmed/22085126>
- CNA509 assessment 2: presentation byKeshia Whitehead
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