The aim of this study is to determine if the insertion of the linear endobronchial ultrasound bronchoscope is more comfortable for patients when done through the nose compared to its insertion through the mouth. Our hypothesis is that nasal insertion is more comfortable.
Linear endobronchial ultrasound (EBUS) now plays a crucial role in the diagnosis, staging, and treatment planning of lung cancer. Most centers perform linear EBUS via the oral route given the larger diameter of the bronchoscope used. However, the feasibility and the diagnostic accuracy of linear EBUS performed through the nose have not been reported. Furthermore, the two routes of insertion have never been compared in terms of patient satisfaction and comfort. In order to compare the two routes of insertion, consecutive patients referred for a linear endobronchial ultrasound will be recruited. Participants will be randomized to either oral or nasal insertion. All participants will be sedated and will receive local anesthetics in a similar manner. After the procedure, patients will fill a questionnaire regarding their comfort and satisfaction with the procedure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
220
Institut Universitaire de Cardiologie et de Pneumologie de Québec
Québec, Quebec, Canada
Patient comfort and satisfaction
Measured by a questionnaire using a 10-point Likert scale for both comfort and satisfaction.
Time frame: Two hours after endobronchial ultrasound
Physician's assessment of patient comfort
Measured by a questionnaire using a 10-point Likert scale regarding patient comfort and procedural difficulties.
Time frame: Immediately after the procedure (within 10 minutes)
Duration of endobronchial ultrasound procedure
Measured in minutes.
Time frame: During the procedure
Total doses of sedation
Total doses of each sedative used will be recorded.
Time frame: Immediately after the procedure (within 10 minutes)
Occurence of pneumothorax, bleeding more than 50ml, oxygen desaturation to less than 90%, epistaxis, cardiac arrhythmia
Time frame: During the procedure and up to two hours after
Proportion of adequate cytology specimens in each group
Time frame: Days after the procedure (results usually available within 10 days)
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