The ClearSight Scope Adapter and Its Effect on Patient Satisfaction and Pain: A Randomized Controlled Trial
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Abstract
Background
The fiber-optic nasal laryngoscope is a diagnostic tool used by all otolaryngologists and many emergency physicians. Pediatric otolaryngologist Dr. Matthew Bromwich has developed an adapter that allows this scope to be attached to an iPhone in order to 1) better facilitate communication of physical examination findings and diagnoses between healthcare professionals, 2) aid in medical trainee education, and 3) incorporate pictures and videos into patient records. The adapter does so by making use of the iPhone's ability to record high quality HD videos and share those videos directly from the recording device. The adapter streamlines the recording of a laryngoscopic examination using existing technology that everyone already owns and carry on their person at all times.
This device is already in regular use among resident otolaryngology physicians in Ottawa, as well as practicing physicians in various disciplines around the world. The adapter holds clear appeal to physicians, but we would also like to demonstrate a benefit to patients. One way in which patients can stand to benefit is by lessening the discomfort associated with fiber-optic nasal laryngoscopic examinations. Numerous studies have already shown that topical anesthetics and decongestants are of no clear benefit. Thus, we would like to see if one can at least decrease the perception of pain through the use of video and patient education.
Objective
The objective of this study is to show that the use of iPhone video laryngoscopy results in a decreased perception of pain associated with the scope examination, as well as improved patient understanding of their own condition and overall satisfaction with the clinical encounter. Secondary objectives are to assess the scope user's satisfaction with the device and see whether its use results in longer scope duration.
Methods
The design of this study is a randomized controlled trial involving 40 patients seen by otolaryngology residents as result of inpatient or emergency consultations. Patients are enrolled if their assessment requires the use of fiber-optic nasal laryngoscopy and if they consent to the study. All subjects are enrolled only once at their initial scope and not at any subsequent repeat scopes. Patients are randomized to two groups, one for whom the laryngoscopic examination is conducted with the conventional eyepiece, the other recorded with the adapter and iPhone. Both groups receive routine patient discussions of their findings, except that the video of the examination is also presented to patients in the second group. All patients then complete a satisfaction survey with regards to the clinical encounter, plus a pain assessment questionnaire in the form of a visual analogue scale. The scope user also fills out a satisfaction survey. The results are compared between groups.
Results
Research in Progress
Conclusions
Research in Progress
The fiber-optic nasal laryngoscope is a diagnostic tool used by all otolaryngologists and many emergency physicians. Pediatric otolaryngologist Dr. Matthew Bromwich has developed an adapter that allows this scope to be attached to an iPhone in order to 1) better facilitate communication of physical examination findings and diagnoses between healthcare professionals, 2) aid in medical trainee education, and 3) incorporate pictures and videos into patient records. The adapter does so by making use of the iPhone's ability to record high quality HD videos and share those videos directly from the recording device. The adapter streamlines the recording of a laryngoscopic examination using existing technology that everyone already owns and carry on their person at all times.
This device is already in regular use among resident otolaryngology physicians in Ottawa, as well as practicing physicians in various disciplines around the world. The adapter holds clear appeal to physicians, but we would also like to demonstrate a benefit to patients. One way in which patients can stand to benefit is by lessening the discomfort associated with fiber-optic nasal laryngoscopic examinations. Numerous studies have already shown that topical anesthetics and decongestants are of no clear benefit. Thus, we would like to see if one can at least decrease the perception of pain through the use of video and patient education.
Objective
The objective of this study is to show that the use of iPhone video laryngoscopy results in a decreased perception of pain associated with the scope examination, as well as improved patient understanding of their own condition and overall satisfaction with the clinical encounter. Secondary objectives are to assess the scope user's satisfaction with the device and see whether its use results in longer scope duration.
Methods
The design of this study is a randomized controlled trial involving 40 patients seen by otolaryngology residents as result of inpatient or emergency consultations. Patients are enrolled if their assessment requires the use of fiber-optic nasal laryngoscopy and if they consent to the study. All subjects are enrolled only once at their initial scope and not at any subsequent repeat scopes. Patients are randomized to two groups, one for whom the laryngoscopic examination is conducted with the conventional eyepiece, the other recorded with the adapter and iPhone. Both groups receive routine patient discussions of their findings, except that the video of the examination is also presented to patients in the second group. All patients then complete a satisfaction survey with regards to the clinical encounter, plus a pain assessment questionnaire in the form of a visual analogue scale. The scope user also fills out a satisfaction survey. The results are compared between groups.
Results
Research in Progress
Conclusions
Research in Progress
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