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Cocaine use in sinonasal surgery: patients’ perspective on its use and the need for pre-operative consent

Published online by Cambridge University Press:  08 May 2024

Justin Jui Yuan Yeo Open the ORCID record for Justin Jui Yuan Yeo [Opens in a new window] ,
Sharifah Sara Syed Badrol ,
Amandeep Maan ,
Jacquline Chan ,
James Barraclough  and
Suzanne Jervis
Justin Jui Yuan Yeo*
Affiliation:
Department of ENT, Russell Halls Hospital, The Dudley Group NHS Foundation Trust, Dudley, UK
Sharifah Sara Syed Badrol
Affiliation:
Department of ENT, Russell Halls Hospital, The Dudley Group NHS Foundation Trust, Dudley, UK Department of ENT, Princess Royal Hospital, Shrewsbury and Telford Hospital NHS Trust, Telford, UK
Amandeep Maan
Affiliation:
Department of ENT, Russell Halls Hospital, The Dudley Group NHS Foundation Trust, Dudley, UK
Jacquline Chan
Affiliation:
Department of ENT, Russell Halls Hospital, The Dudley Group NHS Foundation Trust, Dudley, UK Department of ENT, Princess Royal Hospital, Shrewsbury and Telford Hospital NHS Trust, Telford, UK
James Barraclough
Affiliation:
Department of ENT, Russell Halls Hospital, The Dudley Group NHS Foundation Trust, Dudley, UK
Suzanne Jervis
Affiliation:
Department of ENT, Princess Royal Hospital, Shrewsbury and Telford Hospital NHS Trust, Telford, UK
*
Corresponding author: Justin Jui Yuan Yeo; Email: [email protected]
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Abstract

Objectives

Intranasal cocaine is commonly used in endoscopic sinus surgery due to its vasoconstrictive and anaesthetic properties. This study aimed to understand patients’ perspectives and whether patients should have to give their consent for its use.

Methods

Prospective data were collected over a three-month period in ENT departments in the out-patient setting of two district general hospitals. An anonymous questionnaire was distributed to all adult patients asking for their thoughts on cocaine use in sinonasal surgery and the need for peri-operative discussion.

Results

In total, 123 patient questionnaires were analysed. It was found that 9.8 per cent of patients knew of cocaine use in sinonasal surgery, 73.2 per cent of patients stated they would like a pre-operative discussion on cocaine use before surgery and 83.1 per cent of patients raised concerns over cocaine's illicit status, mainly its effect on work and driving. Only 34 per cent of patients said that they would prefer an alternative to cocaine.

Conclusion

This study found that patients want to know if and when cocaine is being used intra-operatively without necessarily objecting to it.

Keywords

informed consentanesthesia
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 10 , October 2024 , pp. 1036 - 1038
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Justin Yeo takes responsibility for the integrity of the content of the paper

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