Topical Pharyngeal Anesthesia for Unsedated Esophagogastroduodenoscopy Procedure in Sick Patients

Somchai Amornyotin
  • Journal of Anesthesia & Critical Care Open Access, January 2016, MedCrave Group LLC
  • DOI: 10.15406/jaccoa.2016.04.00134

Topical Pharyngeal Anesthesia for Unsedated Esophagogastroduodenoscopy Procedure in Sick Patients

What is it about?

The aim of this study was to evaluate and compare the clinical efficacy of topical pharyngeal anesthesia for unsedated esophagogastroduodenoscopy (UEGD) procedure in sick (American Society of Anesthesiologists [ASA] physical status III-IV) and nonsick (ASA physical status I-II) patients in a teaching hospital in Thailand. We undertook a retrospective review of the anesthesia or sedation service records of adult patients who underwent UEGD procedures from October 2008 to September 2009.

Why is it important?

After matching age, gender, weight, height and duration of procedure, there were 566 adult patients who underwent UEGD procedures by using topical pharyngeal anesthesia. Of these, 287 patients were in group A and 279 patients were in group B. There were no significant differences in age, gender, weight, height and duration of UEGD procedure between the two groups. All patients in both groups successfully completed the procedure except four patients in group A, and one patient in group B (P=0.188). Anesthesia and procedure-related adverse events in both groups were not significantly different. All adverse events were transient and mild degree with no adverse sequelae.

Perspectives

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

Topical pharyngeal anesthesia for UEGD procedure in sick patients by trained anesthetic personnel with appropriate monitoring was safe and effective. The clinical efficacy of this technique in sick patients was not different or worse than in nonsick patients. Serious adverse events were rare in our population.

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http://dx.doi.org/10.15406/jaccoa.2016.04.00134

The following have contributed to this page: Somchai Amornyotin