Anesthesia of Mucous Membrane
Conditions
Keywords
lidocaine, esophago-gastro-duodenoscopy
Brief summary
This study compares the effect of nebulized lidocaine and lidocaine spray in patients undergoing esophago-gastro-duodenoscopy. The investigators evaluate the success rate of the procedure between two methods.
Detailed description
This is a randomized-controlled trial in the patients undergoing esophago-gastro-duodenoscopy. The patients are randomized by computer into two arms: nebulized lidocaine and lidocaine spray. Both drugs are applied 15-20 minutes prior the prior the procedure. Only one endoscopist participate in this study. After the procedure finishes, the investigators evaluate the outcome and satisfaction of patients and endoscopist.
Interventions
5 puffs of 10% Lidocaine spray is administered every 5 minutes for 4 times. Then the patient is undergone procedure 5 minutes later.
The patient receives 2.5 mL of 10% lidocaine is used by nebulizer under oxygen flow 6-7 LPM for 15 minutes prior the procedure.
Sponsors
Study design
Eligibility
Inclusion criteria
* elective case for esophago-gastro-duodenoscopy with ASA classification 1-2 * Both genders * Age between 18-65 years
Exclusion criteria
* History of smoking * Upper respiratory tract infection * Asthma * Heart disease * Allergy to local anesthetic drugs Withdrawal or termination criteria * Patient refusal * Patient develops lidocaine allergy * Bronchospasm * Sign of Local Anesthetic Toxicity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of Topical and Nebulized Anesthesia | 90 min | Both nurse anesthetist and endoscopist evaluate difficulty during the procedure and demand for additional sedative drugs using numeric scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Satisfaction | 90 min | Satisfaction is evaluated using Numeric Rating Scale (0-10) |
| Operator Satisfaction | 30 min | Satisfaction is evaluated using Numeric Rating Scale (0-10) |
Countries
Thailand