Connecting Palliative Care and Intensive Care in Taiwan

Gillis, Jonathan; Lai, Chuan-Tsai; Lin, Min-Ling; Lee, Shih-Yi

doi:10.1016/s1873-9598(08)70008-5

Cited by 6 publications

(2 citation statements)

References 11 publications

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“…Endotracheal tube (ETT) intubation is performed on patients who are unable to breathe independently. However, active ETT intubation is a stressor for patients in intensive care units (ICUs) [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Comparative study between oral acetaminophen and lidocaine spray on endotracheal tube-related sore throat in adult intensive care

2021

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ackground/Purpose: Endotracheal tube (ETT)-related sore throat is a common source of stress in intensive care. Quantitative studies on therapy for ETT-related sore throat remain limited. The current study evaluated the therapeutic effects of oral acetaminophen (ACT) and lidocaine (LIDO) spray on pain relief for ETT-related sore throat in intensive care. Methods: Patients who could communicate with caregivers non-verbally and who had acquired ETT-related sore throat at a medical intensive care unit (ICU) were enrolled. The medications were dispensed at the request of the patients. The intensity of ETT-related throat pain was recorded for quantitative comparison before and after patients received 500 mg of ACT orally or one dose of 10% LIDO spray locally. Before leaving the ICU, the patients were interviewed by a research nurse to assess the effect of these interventions on satisfaction with pain management for ETT-related sore throat. Results: We enrolled 89 patients during the study period, and the intensity of ETT-related throat pain significantly decreased after treatment (6.97 in 5 min before vs. 3.60 in 120 min after oral ACT, P < 0.001; 8.56 in 5 min before vs. 4.12 in 120 min after LIDO application, P < 0.001). The degree of pain reduction over time differed between the ACT and LIDO groups. Patients in the LIDO group made more requests for additional therapy compared with patients in the ACT group (1 LIDO spray per request for an average of 4.7 requests vs. 1 ACT dose per request for an average of 1.3 requests, P < 0.001). Patients in both the ACT and LIDO groups reported high satisfaction with pain management for ETT-related sore throat (87.3 of 100 vs. 86.5 of 100, respectively, P = 0.805). Conclusion: ACT and LIDO treatment can effectively attenuate ETT-related sore throat. Patients were highly satisfied with pain management for ETT-related sore throat after both oral ACT and local LIDO application.

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Section: Introductionmentioning

confidence: 99%

Comparative study between oral acetaminophen and lidocaine spray on endotracheal tube-related sore throat in adult intensive care

2021

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“…The introduction of new technologies, such as video laryngoscopy with a hyperangulated blade and laryngeal mask airway, for airway management promotes evolutionary changes in the DA definition, with changes to target study groups depending on the equipment and environment used for practicing emergency airway management [49][50][51][52][53][54][55][56]. Moreover, studies focusing on an intervention for tracheal tuberelated sore throat, a major source of stress but an easily neglected discomfort in critically ill patients [57,58], are warranted to fill the unmet need.…”

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confidence: 99%

Factors for advancing emergency airway management practice

2022

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Compiling factors from scientific evidence of airway management in the emergency setting is a strategy for improving patient outcomes. Review and original articles in this special issue highlight the essential elements that deserve special attention in clinical practice, including airway assessments before artificial airway establishment, rapid sequence induction, continuous monitoring of vital signs after airway intubation, and management of artificial airway-associated discomfort.

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The Effects of Xylocaine Spray for Pain Control Caused by Endotracheal Tube in Critical Care

Lee¹,

Wu²,

Kuo³

et al. 2012

International Journal of Gerontology

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s u m m a r yBackground: The purpose of this study was to evaluate the efficacy and safety of Xylocaine spray for the pain caused by endotracheal tube, and its impact on patients' satisfaction of intensive care. Methods: A quantitative evaluation of the effect before and after Xylocaine spray on endotracheal tube pain relief, and a qualitative interview study of the impact of this intervention on patients' satisfaction of intensive care in a prospective, clinical investigation. Those in the medical intensive care unit being endotracheal intubated and being able to clearly communicate with the caregivers were enrolled after providing their inform consent. We prescribed Xylocaine 10% pump spray as frequently as demanded. Results: Nineteen patients were eligible for this study. The numerical rating scale of the throat pain before local Xylocaine spray were 8.82 AE 0.79, 7.98 AE 0.92, 7.07 AE 0.76, 6.37 AE 0.83 and 5.47 AE 1.23, sequentially, compared with after therapy results, which were 3.84 AE 0.86, 3.57 AE 0.74, 3.06 AE 0.70, 2.61 AE 0.77 and 1.96 AE 0.88 (p < 0.01). The interval between Xylocaine demanded gradually increased with time after endotracheal tube intubation, and was also different between the daytime and the night-time on the first day of admission (p < 0.001). Most of the patients suffered from throat pain due to endotracheal intubation, and they agreed their satisfaction was affected by the factors, the level of throat pain being controlled (correlation: 0.89, p < 0.01), and the caregivers' attitude with regard to the pain control (correlation: 0.46, p < 0.05). Conclusion: Xylocaine spray is demanded is an effective therapy to manage the pain caused by endotracheal tube, which is also crucial to meet patient satisfaction in intensive care.

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Connecting Palliative Care and Intensive Care in Taiwan

Cited by 6 publications

References 11 publications

Comparative study between oral acetaminophen and lidocaine spray on endotracheal tube-related sore throat in adult intensive care

Comparative study between oral acetaminophen and lidocaine spray on endotracheal tube-related sore throat in adult intensive care

Factors for advancing emergency airway management practice

The Effects of Xylocaine Spray for Pain Control Caused by Endotracheal Tube in Critical Care

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