Journal article
Pain Experience and Tolerance of Awake In‐Office Upper Airway Procedures: Influencing Factors
The Laryngoscope, Vol.131(5), pp.E1580-E1588
05/2021
DOI: 10.1002/lary.29238
PMID: 33196115
Abstract
Objectives/Hypothesis
Awake, unsedated in‐office upper airway procedures are performed frequently and have high completion rates, yet less is known about the patients' pain experience and potentially influencing factors. It is also unclear if patients' pain experiences become worse with repeated procedures. We identified procedure‐ and patient‐related factors that might influence procedural completion and pain scores.
Study Design
Retrospective chart review.
Methods
Pre‐, intra‐, and post‐procedure pain scores were collected prospectively for awake unsedated upper airway procedures performed at a single institution over a 5‐year period. Patient factors reviewed were demographics, body mass index, psychiatric and/or pain diagnosis, and related medications. Procedure factors reviewed were procedure type, route, side, and performance of the same procedure multiple times. Patients reported their pain level before, during, and after the procedure using a standard 0 to 10 scale. Maximum pain score change (PΔmax), or the difference between highest and lowest reported pain levels, was calculated. Descriptive and multivariate analyses were performed.
Results
Procedure completion was 98.7% for 609 first time patients and 99.0% in 60 patients undergoing 292 repeat procedures. PΔmax did not covary with age, gender, or BMI. PΔmax covaried with pain and psychiatric conditions and associated medications. PΔmax was highest for injection medialization and lowest for tracheoscopy. PΔmax decreased over time for those undergoing multiple identical procedures.
Conclusions
Procedures were performed with a very high completion rate and low pain scores. Age, sex, and BMI did not affect pain experience. A combination of pain and psychiatric conditions did. Injection medialization had the highest PΔmax and tracheoscopy the lowest.
Level of Evidence
4 Laryngoscope, 131:E1580–E1588, 2021
Details
- Title: Subtitle
- Pain Experience and Tolerance of Awake In‐Office Upper Airway Procedures: Influencing Factors
- Creators
- Chad W. Whited - Austin Voice Center, Austin Ear, Nose, and Throat Clinic, Austin, Texas, U.S.A.Jonathan Lubin - University of Wisconsin–MadisonNicholas Marka - University of Wisconsin–MadisonIan J. Koszewski - University of Wisconsin–MadisonMatthew R. Hoffman - University of Wisconsin School of Medicine and Public HealthStephen Schoeff - University of Wisconsin–MadisonSeth H. Dailey - University of Wisconsin–Madison
- Resource Type
- Journal article
- Publication Details
- The Laryngoscope, Vol.131(5), pp.E1580-E1588
- Publisher
- John Wiley & Sons, Inc
- DOI
- 10.1002/lary.29238
- PMID
- 33196115
- ISSN
- 0023-852X
- eISSN
- 1531-4995
- Number of pages
- 9
- Language
- English
- Date published
- 05/2021
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984366280502771
Metrics
6 Record Views