Investigation of Efficacy of Lidocaine Spray for Sedated Esophagogastroduodenoscopy in Children.
10.5223/pghn.2017.20.2.87
- Author:
Ahmet BASTURK
1
;
Reha ARTAN
;
Aygen YILMAZ
Author Information
1. Department of Pediatric Gastroenterology, Faculty of Medicine, Akdeniz University, Antalya, Turkey. drahmetbasturk@hotmail.com
- Publication Type:Randomized Controlled Trial ; Original Article
- Keywords:
Child;
Esophagogastroduodenoscopy;
Lidocaine spray;
Sore throat;
Gag reflex
- MeSH:
Child*;
Endoscopy;
Endoscopy, Digestive System*;
Humans;
Ketamine;
Lidocaine*;
Midazolam;
Pharyngitis;
Reflex;
Water
- From:Pediatric Gastroenterology, Hepatology & Nutrition
2017;20(2):87-93
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Our aim in this study is to investigate efficacy of topical lidocaine spray for sedated esophagogastroduodenoscopy (EGD) in children. METHODS: The endoscopy of children aged between 3-18 years who underwent EGD in our endoscopy unit. Intravenous (IV) midazolam and ketamine were used for sedation. Prior to sedation, endoscopy nurse applied topical lidocaine 10% with pump spray at 1 mg/kg dose in group 1, and distilled water via identically scaled pump spray in group 2, in a double blinded fashion. RESULTS: Sedation was not applied in 24.1% of the cases in topical lidocaine spray group (LS group) and in 5.7% of the cases in distilled water spray group (DS group). Gag reflex was observed in 6.5% of cases in LS group and 33.3% of cases in DS group (p=0.024), increased oral secretion was observed in 9.3% of cases in LS group and 51.7% of cases in DS group (p=0.038), sore throat was observed in 3.7% of cases in LS group and 35.6% of cases in DS group (p=0.019) and the difference was statistically significant. CONCLUSION: The study showed that topical pharyngeal lidocaine reduces both requirement and amount of IV sedation before EGD in children and sore throat, gag reflex and decreased oral secretion increase.
