Topical Pharyngeal Anesthesia for Unsedated Esophagogastroduodenoscopy Procedure in Sick Patients
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چکیده
Unsedated esophagogastroduodenoscopy (UEGD) is generally safe and can be well tolerated [1,2]. The proportion of patients undergoing diagnostic EGD without sedation has been increasing over the past decade, and previous studies suggest that many patients who receive adequate information about the procedure now choose not to have sedation [3,4]. In Thailand, most of diagnostic and screening EGDs are performed without sedation. Topical pharyngeal anesthesia is often used as premedication for EGD procedure [5,6]. In a recent meta-analysis, topical pharyngeal anesthesia before EGD with sedation is shown to improve ease of endoscopy and patient tolerance. Pharyngeal anesthesia is also often used in UEGD and is thought to improve patient tolerance [7]. There have not been any studies directly comparing the efficacy and safety of topical lidocaine for pharyngeal anesthesia when the topical lidocaine is used as a single agent for UEGD procedure between sick (ASA physical status III-IV) and non-sick (ASA physical status I-II) patients. Materials and Methods
منابع مشابه
Unsedated Esophagogastroduodenoscopy in Cirrhotic Patients: An Impact of Topical Pharyngeal Anesthesia
Esophagogastroduodenoscopy (EGD) is an endoscopic procedure which is commonly used for diagnostic and therapeutic purposes. The proportion of patients undergoing diagnostic EGD without sedation has been increasing over the past decade. In addition, EGD has several applications specific to the patients with chronic liver disease [1]. Unsedated esophagogastroduodenoscopy (UEGD) is generally safe ...
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Cirrhosis is a common cause of mortality worldwide. The role of endoscopy in liver cirrhosis is of increasing value in the diagnosis and management [1]. Esophagogastroduodenoscopy (EGD) procedure is commonly utilized for the patients with liver cirrhosis. Generally, unsedated EGD procedures are used even in these cirrhotic patients. Several previous studies suggested that many patients who rece...
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Unsedated upper gastrointestinal endoscopy (UGE) can induce patient discomfort, mainly due to a strong gag reflex. The aim was to assess the effect of a bupivacaine lozenge as topical pharyngeal anesthetic compared with standard treatment with a lidocaine spray before UGE. Ninety-nine adult outpatients undergoing unsedated diagnostic UGE were randomized to receive either a bupivacaine lozenge (...
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BACKGROUND The optimal topical anesthesia regimen for unsedated transnasal endoscopy is unknown. The addition of a nasal decongestant, such as xylometazoline (X), to a topical anesthestic may improve patient comfort. OBJECTIVE To determine the effectiveness of lidocaine (L) versus L plus X (LX) for anesthesia in unsedated transnasal endoscopy. METHODS Consecutive participants of the Aklavik...
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