T634 ADVERSE EVENTS OF UNSEDATED ESOPHAGOGASTRODUODENOSCOPY IN SICK PATIENTS: THE IMPACT OF TOPICAL PHARYNGEAL ANESTHESIA

S. Amornyotin, W. Chalayonnawin, S. Kongphlay
  • European Journal of Pain Supplements, September 2011, Wiley
  • DOI: 10.1016/s1754-3207(11)70308-x

ADVERSE EVENTS OF UNSEDATED EGD IN SICK PATIENTS: THE IMPACT OF TOPICAL PHARYNGEAL ANESTHESIA

What is it about?

Pharyngeal anesthesia by using topical lidocaine is generally used as pretreatment for unsedated esophagogastroduodenoscopy (UEGD). The aim of this study was to compare and evaluate the minor adverse events of topical lidocaine for pharyngeal anesthesia when the topical lidocaine is used as a single agent for UEGD between sick and non-sick patients.

Why is it important?

There were 1,398 patients who underwent UEGD during the study period. After matching gender, duration of procedure and indications of endoscopy, there were 422 patients in group A and 418 patients in group B. All anesthesia were given by anesthetic personnel in the endoscopy room. There were no significant differences in patients’ characteristics, duration and indications of procedure, as well as overall, anesthesia and procedure-related complications between the two groups. All complications were comparable, easily treated, with no adverse sequelae.

Perspectives

Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University

Topical lidocaine for pharyngeal anesthesia in sick and non-sick patients provided effective and safe for UEGD procedure. All adverse events in both groups were comparable, mild degree and easily treat. No serious adverse events were observed.

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http://dx.doi.org/10.1016/s1754-3207(11)70308-x

The following have contributed to this page: Somchai Amornyotin