Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Endoscopy: throat spray or sedation?

S Pereira1, S H Hussaini, P J Hanson

  • 1Division of Medicine, UMDS of Guy's Hospital, London.

Journal of the Royal College of Physicians of London
|September 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

FFEM-DB 2.0: an updated and extended spatio-temporal dataset of flood fatalities occurred from 1980 to 2024 in the Euro-Mediterranean region.

Scientific data·2026
Same author

MEYER project: Towards a national protocol for in vivo measurement of <sup>131</sup>I in the thyroid of exposed populations in emergencies.

Applied radiation and isotopes : including data, instrumentation and methods for use in agriculture, industry and medicine·2026
Same author

Parental Anxiety in Differences of Sex Development and Hypospadias: A Psychosocial Characterization.

medRxiv : the preprint server for health sciences·2025
Same author

Landscape influences bat suppression of pine processionary moth: Implications for pest management.

Journal of environmental management·2024
Same author

Determinants of physical activities in settings (DE-PASS): Approach for selecting the core measures for determinants of physical activity behaviours in 9-12 old children.

Journal of sports sciences·2024
Same author

Biochemical analysis of three red grapevine varieties during three phenological periods grown under Mediterranean climate conditions.

Plant biology (Stuttgart, Germany)·2024
Same journal

A Change of Government and Its Effect on the NHS Hospital Outpatient Service.

Journal of the Royal College of Physicians of London·2019
Same journal

Erratum: Model for the Organisation of a Community-Based Rehabilitation Service.

Journal of the Royal College of Physicians of London·2019
Same journal

Telemedicine and beyond.

Journal of the Royal College of Physicians of London·2019
Same journal

Palliative Care in General Medicine.

Journal of the Royal College of Physicians of London·2019
Same journal

Medical Negligence.

Journal of the Royal College of Physicians of London·2019
Same journal

In Response.

Journal of the Royal College of Physicians of London·2019
See all related articles

Most non-anxious patients prefer endoscopy with lignocaine throat spray alone. Anxious patients benefit from sedation, but those who choose spray still find the procedure comfortable, indicating patient preference is key.

Area of Science:

  • Gastroenterology
  • Patient Experience
  • Sedation Management

Background:

  • Anxious patients often report poor tolerance of endoscopic procedures.
  • Sedation is typically recommended for anxious patients, while non-anxious patients may prefer local anesthesia.
  • Informed patient choice is crucial for procedural comfort and satisfaction.

Purpose of the Study:

  • To investigate patient preferences for sedation versus lignocaine throat spray alone during diagnostic endoscopy.
  • To determine if providing an informed choice influences patient selection of anesthesia.
  • To assess patient comfort levels and future preferences based on their chosen method.

Main Methods:

  • A prospective study involving 200 outpatients undergoing diagnostic endoscopy.

Related Experiment Videos

  • Patients received one of two information sheets detailing choices between spray or sedation.
  • One group was encouraged to choose sedation if anxious; the other had an open choice.

    • Main Results:

    • Most non-anxious patients preferred endoscopy with lignocaine throat spray alone when given an informed choice.
    • Patients anxious about the procedure who chose spray after being advised sedation still reported comparable comfort.
    • High rates of patients (73-77%) would choose their initial method again for repeat procedures.

    Conclusions:

    • Patient preference, particularly for non-anxious individuals, plays a significant role in the choice between spray and sedation for endoscopy.
    • Even anxious patients who opt for spray after receiving advice for sedation find the procedure comfortable.
    • Endoscopic procedural planning should incorporate patient preferences alongside endoscopist recommendations.