BACKGROUND: There have been conflicting reports about the usefulness of topical pharyngeal anesthesia as a pre-endoscopic medication. AIMS: To assess the effect of topical pharyngeal anesthesia without intravenous sedatives on easing upper gastrointestinal endoscopy. METHODS:153 consecutive consenting patients were randomized to receive either placebo (normal saline) spray (78 patients) or 80 mg of 4% lidocaine spray (75 patients). Difficulty of intubation was judged both by the patient and the physician on a linear analogue scale. RESULTS: There was no significant difference in the scores in the two groups (p > 0.05). The patient and physician assessments correlated well. CONCLUSIONS:Topical lignocaine spray does not facilitate upper gastrointestinal endoscopy in the absence of intravenous sedation.
RCT Entities:
BACKGROUND: There have been conflicting reports about the usefulness of topical pharyngeal anesthesia as a pre-endoscopic medication. AIMS: To assess the effect of topical pharyngeal anesthesia without intravenous sedatives on easing upper gastrointestinal endoscopy. METHODS: 153 consecutive consenting patients were randomized to receive either placebo (normal saline) spray (78 patients) or 80 mg of 4% lidocaine spray (75 patients). Difficulty of intubation was judged both by the patient and the physician on a linear analogue scale. RESULTS: There was no significant difference in the scores in the two groups (p > 0.05). The patient and physician assessments correlated well. CONCLUSIONS: Topical lignocaine spray does not facilitate upper gastrointestinal endoscopy in the absence of intravenous sedation.
Authors: Assaad M Soweid; Shadi R Yaghi; Faek R Jamali; Abdallah A Kobeissy; Michella E Mallat; Rola Hussein; Chakib M Ayoub Journal: World J Gastroenterol Date: 2011-12-21 Impact factor: 5.742
Authors: Moisés Ortega Ramírez; Benigno Linares Segovia; Marco Antonio García Cuevas; Jorge Luis Sánchez Romero; Illich Botello Buenrostro; Norma Amador Licona; Juan Manuel Guízar Mendoza; Jesús Francisco Guerrero Romero; Víctor Manuel Vázquez Zárate Journal: Gastroenterol Res Pract Date: 2013-03-05 Impact factor: 2.260