Esophagogastroduodenoscopy
Conditions
Keywords
meperidine, esophagogastroduodenoscopy, unsedated, minimal sedation
Brief summary
Upper endoscopy is uncomfortable for most patients. Meperidine has both sedative and analgesic effects, so its use may be helpful for patients receiving upper endoscopy.
Detailed description
Unsedated esophagogastroduodenoscopy (EGD) is a useful tool for upper gastrointestinal tract examination and therapy, but it is uncomfortable for many patients. Meperidine has been widely used in colonoscopic examination for many years; however, its use in EGD has not been completely evaluated.
Interventions
intramuscular, 25 mg, 5 to 10 minutes before EGD
25 ml of normal saline, intramuscular, 5 to 10 minutes before EGD
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing diagnostic upper endoscopy in our endoscopic room were enrolled.
Exclusion criteria
* A therapeutic upper endoscopic procedure, sedated endoscopy, contraindication to Buscopan (hyoscine N-butylbromide) * Allergy to meperidine * American Society of Anesthesiology (ASA) risk Class 3 or higher * Renal failure * Decompensated cirrhosis * Aged less than 20 years or more than 65 years * Pregnancy * Refusal to provide written informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| discomfort score during esophageal intubation | 9 months | patient self-reported discomfort score during esophageal intubation, assessed with a 0 to 10 visual analog scale (VAS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| patient and endoscopist satisfaction score | 9 months | patient and endoscopist satisfaction with the procedure, score 0(not satisfied at all)-10 (very satisfied |
| patient tolerance of the procedure | 9 months | patolerace of the EGD, evaluate by the endoscopist, score 0 (best tolerance)-10 (very poor tolerance, the procedure could not be completed) |
| endoscopist perception of patient tolerance , | 9 months | endoscopist evaluation of patient tolerance during EGD, score 0 (best tolerance)- 10 (worst tolerance, the procedure can not be completed) |
Countries
Taiwan