Patients Undergoing Diagnostic EGD
Conditions
Keywords
EGD, tolerance, discomfort
Brief summary
Our pilot results showed that meperidine reduce patient discomfort during EGD (esophagogastroduodenoscopy). But many patients can tolerate EGD well without any sedative agents. So the investigators target the use of meperidine on patients expected to have poor tolerance in this study, which includ young females with high anxiety level and patients with prior poor tolerance. The investigators test the hypothesis that meperidine improves tolerance and alleviates discomfort for patients expected to have poor tolerance during diagnostic EGD.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* female youger than 65 years with high anxiety level * patients with previous poor tolerance of EGD
Exclusion criteria
* a therapeutic EGD * sedation with other agents * contraindication to Buscopan (hyoscine N-butylbromide) or meperidine * American Society of Anesthesiology (ASA) risk Class 3 or higher, renal failure * age less than 20 years or more than 80 years * pregnancy * refusal to provide written informed consent. All participants signed written informed consents
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| discomfort score during esophageal intubation | 10 minutes | self-reported discomfort score during esophageal intubation, assessed with a 0 to 10 (0 = none; 10 = unbearable) visual analog scale (VAS). |
Secondary
| Measure | Time frame |
|---|---|
| patient discomfort score during the procedure | 10 minutes |
| patients satisfaction score | 10 minutes |
| patient tolerance score evaluated by the endoscopist | 10 minutes |
| endoscopist satisfaction score | 10 minutes |
Countries
Taiwan