Cocaine use in sinonasal surgery: patients' perspective on its use and the need for pre-operative consent
Yeo, Justin JY Badrol, Sharifah SS Maan, Amandeep Chan, Jacquline Barraclough, James Jervis, Suzanne
Yeo, Justin JY
Badrol, Sharifah SS
Maan, Amandeep
Chan, Jacquline
Barraclough, James
Jervis, Suzanne
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Affiliation
The Dudley Group NHS Foundation Trust; Shrewsbury and Telford Hospital NHS Trust
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Publication date
07/05/2024
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Abstract
Introduction Intranasal cocaine is commonly used in endoscopic sinus surgery due to its vasoconstrictive and anaesthetic properties. We aim to understand patients' perspectives and whether we should consent patients to its use. Method Prospective data was collected over a three-month period in ENT departments in the outpatient setting of 2 district general hospitals. An anonymous questionnaire was distributed to all adult patients exploring their thoughts on cocaine use in sinonasal surgery and the need for perioperative discussion. Results 123 patients questionnaires were analyzed. 9.8% of patients knew of cocaine use in sinonasal surgery. 73.2% of patients stated they would like a pre-operative discussion on cocaine use before surgery. 83.1% of patients raised concerns over cocaine's illicit status, mainly its effect on work and driving. Only 34% mentioned they would prefer an alternative. Conclusion Patients want to know if and when cocaine is being used intraoperatively without necessarily objecting to it.
Citation
Yeo JJY, Badrol SSS, Maan A, Chan J, Barraclough J, Jervis S. Cocaine use in sinonasal surgery: patients' perspective on its use and the need for pre-operative consent. J Laryngol Otol. 2024 May 8:1-12. doi: 10.1017/S0022215124000963. Epub ahead of print.