Emergency physicians' practices and attitudes regarding procedural anaesthesia for nasogastric tube insertion.
Emerg Med J
; 22(4): 243-5, 2005 Apr.
Article
em En
| MEDLINE
| ID: mdl-15788820
ABSTRACT
OBJECTIVE:
To determine practice and attitudes of emergency physicians regarding procedural anaesthesia for nasogastric tube insertion (NGT).METHODS:
Survey of resident/attending emergency physicians working in a tertiary care medical centre.RESULTS:
Of 68 physicians, 46 responded 98% believed that awake and alert patients find NGT insertion uncomfortable/painful; 93% used measures to reduce this, most commonly lubricant gel, topical anaesthetic spray, lidocaine gel, and distraction/use of a child life worker; 28% believed these provided adequate pain control and 37% believed they were inadequate. Topical anaesthetic spray, lidocaine gel, and nebulised/atomised anaesthetics were believed the most practical to administer and 44% actually used these. Nebulised/atomised anaesthetics, systemic anxiolytics, and topical anaesthetic spray were believed the most effective at pain control but only 24% actually used these. While 39% of respondents were satisfied with their current practice, 46% were dissatisfied 91% would change their practice if new literature were to show a convenient way to effectively reduce this pain.CONCLUSIONS:
Emergency physicians do not actually use the measures they believe are most practical/most effective at reducing the pain associated with NGT insertion. Thus, there may be a barrier to the use of these measures. Improvement in procedural anaesthesia for NGT insertion in emergency departments is needed and desired by emergency physicians.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Competência Clínica
/
Medicina de Emergência
/
Intubação Gastrointestinal
/
Anestesia
Tipo de estudo:
Qualitative_research
Limite:
Humans
Idioma:
En
Revista:
Emerg Med J
Assunto da revista:
MEDICINA DE EMERGENCIA
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Estados Unidos