Unsedation colonoscopy can be not that painful: Evaluation of the effect of “Lamaze method of colonoscopy”

Yu, Shao-Ping

doi:10.4253/wjge.v7.i15.1191

Cited by 2 publications

(5 citation statements)

References 18 publications

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“…The study results showed that there was no significant difference in age, gender, colonoscopy history, occurrence of complications, and time of the endoscope to reach the ileocecal junction between the two groups. Compared with routine nurse interventions for colonoscopy, Lamaze colonoscopy could significantly reduce the pain score of anal pain, descending sigmoid colon junction, splenic flexure, and hepatic flexure, which was consistent with findings of Yu et al and T. Voiosu et al [ 10 , 21 ].…”

Section: Discussionsupporting

confidence: 88%

“…Step D: halitus movement when feeling pain but unable to gather strength: to open the mouth and breathe rapidly like gasping with the body relaxed 2.3. Evaluation of Bowel Cleanliness [10]. All examined patients took the same laxative for bowel preparation, and the quality of preparation was graded as follows: grade I, excellent with no visible feces; grade II, satisfactory with a small amount of visible feces, but did not block the visual field; and grade III, unsatisfactory with feces blocking the visual field and/or colonoscopy passage.…”

Section: Modified Lamaze Breathing Methods Of Colonoscopymentioning

confidence: 99%

“…Inclusion criteria of participants were as follows [ 10 ]: (1) normal cognitive and communication ability; (2) ability to understand and complete the questionnaire; (3) willingness to perform the “modified Lamaze breathing” during colonoscopy; and (4) providing informed consent. The study exclusion criteria were as follows: (1) severe cardiovascular and respiratory diseases; (2) history of abdominal/pelvic surgery or inflammatory bowel disease; (3) complete blindness, severe visual impairment, deaf-mutism, inability to read, listen, watch, or understand written, voice, or video materials; (4) severe mental illness or cognitive impairment; (5) inability to communicate normally due to other reasons; (4) inability to move freely in bed; and (6) recent acute lower gastrointestinal bleeding.…”

Section: Methodsmentioning

confidence: 99%

“…During a colonoscopy, the colon is stretched after a gas injection, which may cause pain and discomfort in the patients. The mechanisms of labor pain and colonoscopy-caused pain may be similar to a certain extent since the colon and uterus contain smooth muscles [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Modified Lamaze Breathing Reduces Abdominal Pain in Patients during Colonoscopy

Wang

Wen

Chen

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To study the effects of modified Lamaze breathing on abdominal pain experienced during colonoscopy. Methods. Eighty-five patients who underwent common colonoscopy at our hospital between March 2021 and May 2021 were selected and randomly divided into the Lamaze group ( n = 40 ) and a control group ( n = 45 ). Their basic clinical information was collected, and the bowel cleanliness, the time for the endoscope to reach the ileocecal junction, and the degree of abdominal pain of the two groups were compared. Results. No significant difference was observed in age, gender, bowel cleanliness, and time of endoscope to reach the ileocecal junction between the two groups. However, the degree of abdominal pain (anal region, descending sigmoid colon junction, splenic flexure, and hepatic flexure) was significantly lower in the Lamaze group compared with the control group. Conclusion. Modified Lamaze breathing demonstrated promising effectiveness in reducing abdominal pain during colonoscopy and improving the quality of the examination.

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Section: Discussionsupporting

confidence: 88%

Section: Modified Lamaze Breathing Methods Of Colonoscopymentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Modified Lamaze Breathing Reduces Abdominal Pain in Patients during Colonoscopy

Wang

Wen

Chen

et al. 2022

Computational and Mathematical Methods in Medicine

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“…Amit Kumar, et al Unsedated Colonoscopy| Original Articlehad completion rate of 99% in their study 11,20. As per Yu et al the completion rate was 98% and there was high correlation between the Endoscopist and pain free examination of the colon till caecum 10. Completing the examination in single…”

mentioning

confidence: 86%

Sedation Free Colonoscopy: Patients’ Characteristics and satisfaction in a hospital based Endoscopy Unit

Kumar¹,

Pathak

2017

J Adv Intern Med

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Background and aims: Colonoscopy without sedation costs less and is more convenient than sedated colonoscopy and is the main mode of examination in our settings. The aims of the present study is to determine the percentage of patients who can successfully undergo unsedated colonoscopy and the factors contributing to patient satisfaction following the examination.Material and Methods: Demographic, clinical, and colonoscopy related data were prospectively evaluated in 113 patients undergoing unsedated colonoscopy by an experienced endoscopist during the period of October 2015 to January 2016 at a single hospital based endoscopy setup. All colonoscopies routinely began without sedation and was curtailed if the patient or physician desired. Age, sex, prior abdominal operation, pain during examination and the time required to complete the colonoscopy were recorded. The patients were asked to rate their pain on scale of 0 to 10, their satisfaction and willingness to undergo colonoscopy without sedation in future if required.Results: In a total of 113 patients (mean age of 54.01 years) undergoing sedation free colonoscopy, 108 (95.5%) required no sedation. Complete colonoscopy was done in 106 of the 108 and 110 of the 113 patients. The mean pain score was 2.58 in an average time taken of 11.9 minutes. Average time for intubation taken in post-operative patients (n=20) was 12.24 minutes. 96(84.9%) of the patients were completely or well satisfied with the examination and 7(6.2%) were not satisfied with the procedure. There was not much difference in pain perception or satisfaction based on gender.Conclusion: Colonoscopy without sedation can be completed successfully in a vast majority of patients with proper technique by experienced endoscopist. The practice saves time and money and patients are willing to return for future examinations if required. The facility of sedation should be present if required for any reason.

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Unsedation colonoscopy can be not that painful: Evaluation of the effect of “Lamaze method of colonoscopy”

Abstract: The performance of the "Lamaze method of colonoscopy" in the process of colonoscopy could relieve patients' pain, minimize the incidence of complications, and is worthy promotion in clinical practice.

Cited by 2 publications

References 18 publications

Modified Lamaze Breathing Reduces Abdominal Pain in Patients during Colonoscopy

Modified Lamaze Breathing Reduces Abdominal Pain in Patients during Colonoscopy

Sedation Free Colonoscopy: Patients’ Characteristics and satisfaction in a hospital based Endoscopy Unit

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