C.Medical Procedure; Digestive System, Disorder of Upper Gastrointestinal Tract, Tolerance
Conditions
Keywords
Upper Gastrointestinal Endoscopy, Pharyngeal Anesthesia, Lidocaine, Belching, Retching, Tolerance
Brief summary
The investigators tested whether a new method which additional lidocaine spray on the tip of endoscope can increase the tolerance of examinee during endoscopy than conventional pharyngeal anesthesia alone.
Detailed description
All the patients underwent upper gastrointestinal endoscopy were consecutively enrolled and assigned to case group treated with additional 2 puffs of the 10% lidocaine spray on the tip of endoscope before intubation or control group with conventional pharyngeal anesthesia without further treatment. And the investigators compared their baseline characteristics, past history, sedation or not, and frequency of retching and belching were measured during the endoscopy.
Interventions
Consecutively, all the participants were assigned to case group with additional 2 puffs of the 10% lidocaine spray on the tip of endoscope, same medication which was used for prior pharyngeal anesthesia, or to control group with conventional pharyngeal anesthesia without further treatment. Then we compared the primary outcome measures, such as, frequency of belching and retching of two groups.
Sponsors
Study design
Eligibility
Inclusion criteria
* All the patients who underwent upper gastrointestinal endoscopy in Endoscopy Room, Cheju Hall General Hospital.
Exclusion criteria
* advanced older or younger age (\> 90, or \< 15 years) * comorbidities scored greater than III of American Society of Anestheiologists Physical Status Classification System (ASA) score * history of hypersensitivity reaction to lidocaine * he pregnant * therapeutic or emergency endoscopy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of Belching and retching | Participants will be followed for the duration of hospital stay, expected average of 1-2 hours | Belching was defined as release of gas from the digestive tract (mainly esophagus and stomach) through the mouth and retching was defined as reverse peristaltic movement of the stomach and esophagus without vomiting. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse events | Participants will be followed for the duration of hospital stay, expected average of 1-2 hours | Events suspected as Aspiration pneumonia, methemoglobinemia |
Countries
South Korea