Abdominal pain Abdominal and pelvic pain, Pain localized to other parts of lower abdomen, Pelvic and perineal pain.
Conditions
Interventions
Objective: identify factors related to the patient and examination that can be associated with abdominal pain during colonoscopy, evaluate the level of pain presented by the patients and evaluate the
Drug
Procedure/surgery
Other
E01.370.600.550.324
E05.318.308.980
Sponsors
Universidade do Sul de Santa Catarina
Universidade do Sul de Santa Catarina
Eligibility
Inclusion criteria
Inclusion criteria: patients of both genders; patients who underwent colonoscopy exam
Exclusion criteria
Exclusion criteria: patients who underwent urgent examination; patients who require deep sedation; patients with incomplete records
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected Outcome: identify factors related to the patient and examination that can be associated with abdominal pain during colonoscopy to assess the level of pain presented by the patients and the efficacy of conscious sedation. It was estimated that the patients more susceptible to abdominal pain during colonoscopy would be those of the female sex, young age ( 12 minutes), without having undergone previous colonoscopies; these data were assessed by the patient's record. It was hoped that conscious sedation, performed by fentanyl and midazolam administration were effective, and that the level of pain was lower in patients who received an extra dose of midazolam; the level of pain presented by the patient was measured by the Visual Analog Pain Scale (VAS).;Outcome Found: In relation to gender, men have a higher tolerance to colonoscopy than women. Of the 391 male patients, 22 (5.6%) had some abdominal complaint about the procedure. Among the 566 women who underwent colonoscopy, the pain was reported in 67 (11.8%) patients (p = 0.011). Table 3 shows the abdominal pain levels according to gender. The mean duration of colonoscopy in patients without abdominal complaints was 10.57 minutes and the mean of patients with abdominal pain was 12.26 minutes (p = 0.001). It was observed that the higher the colonoscope insertion time, which corresponds to the time elapsed since the device's introduction to his arrival in the cecum, the greater the level of pain of patients (p = 0.036). Women had a longer intubation time, with an average time of 11.18 minutes, while men had an average intubation time 10.38 minutes (p = 0.001). With regard to medications, 170 patients received additional doses of midazolam in accordance with abdominal complaints mentioned during the test. The mean dose of midazolam administered in patients with discomfort was 5,67mg, higher than the average dose in patients without complaints, 5,16mg (p <0.001 *) Methods: The description of the variables was pe | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are not expected. | — |
Countries
Brazil
Contacts
Public ContactAmanda Bellei
Universidade do Sul de Santa Catarina
Outcome results
None listed