Yıl: 2016 Cilt: 27 Sayı: 2 Sayfa Aralığı: 103 - 107 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial

Öz:
Background/Aims: This study is designed to determine which drug forms provide ideal pharyngeal anesthesia when used during upper gastrointestinal system endoscopy.Materials and Methods: A total of 180 patients were included in the study. Using the random number table, these patients were divided into three groups. Group 1, lidocaine gel+isotonic spray; Group 2, base lubricant gel+lidocaine spray; and Group 3: lidocaine gel+lidocaine spray. Data were collected from the patient identification form, compliance to operation form, and State Anxiety Inventory. Results: Anesthetization and compliance to procedure scores were higher and anxiety scores were lower in Group 3 than in other groups (p<0.05). It was observed that as the compliance score increased, the anesthetization and satisfaction scores also increased; however, coughing during the procedure, duration of the procedure, and anxiety scores decreased (p<0.05). It was determined that as anesthetization scores increased, discomfort in the throat caused by the device, coughing during the procedure, and anxiety scores decreased (p<0.05). Conclusion: Lidocaine gel and spray combination is the most ideal pharyngeal anesthesia to ensure the adaptation of the patient to the procedure and to decrease anxiety and discomfort during the procedure
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Daneshmend TK, Bell GD, Logan RF. Sedation for upper gastroin- testinal endoscopy: results of a nationwide survey. Gut 1991; 32: 12-5. [CrossRef]
  • Keeffe EB, O'Connor KW. 1989 A/S/G/E survey of endoscopic se- dation and monitoring practices. Gastrointest Endosc 1990; 36: 13-8.
  • Ristikankare M, Hartikainen J, Heikkinen M, Julkunen R. Is routine sedation or topical pharyngeal anesthesia beneficial during up- per endoscopy? Gastrointest Endosc 2004; 60: 686-94. [CrossRef]
  • Fleischer D. Monitoring for conscious sedation: perspective of the gastrointestinal endoscopist. Gastrointest Endosc 1990; 36: 19-22.
  • Hedenbro JL, Ekelund M, Jansson O, Lindblom A. A randomized, double-blind, placebo-controlled study to evaluate topical anes- thesia of the pharynx in upper gastrointestinal endoscopy. En- doscopy 1992; 24: 585-7. [CrossRef]
  • Soma Y, Saito H, Kishibe T, Takahashi T, Tanaka H, Munakata A. Evaluation of topical pharyngeal anesthesia for upper endoscopy including factors associated with patient tolerance. Gastrointest Endosc 2001; 53: 14-8. [CrossRef]
  • Evans LT, Saberi S, Kim HM, Elta GH, Schoenfeld P. Pharyngeal anesthe- sia during sedated EGDs: is "the spray" beneficial? A meta-analysis and systematic review. Gastrointest Endosc 2006; 63: 761-6. [CrossRef]
  • Amornyotin S, Srikureja W, Chalayonnavin W, Kongphlay S, Chatchawankitkul S. Topical viscous lidocaine solution versus li- docaine spray for pharyngeal anesthesia in unsedated esopha- gogastroduodenoscopy. Endoscopy 2009; 41: 581-6. [CrossRef]
  • Waring JP, Baron TH, Hirota WK, et al. Guidelines for conscious se- dation and monitoring during gastrointestinal endoscopy. Gas- trointest Endosc 2003; 58: 317-22. [CrossRef]
  • Ayoub C, Skoury A, Abdul-Baki H, Nasr V, Soweid A. Lidocaine lollipop as single-agent anesthesia in upper GI endoscopy. Gas- trointest Endosc 2007; 66: 786-93. [CrossRef]
  • Öner N, Le Compte A. State/Trait Anxiety Inventory Handbook (in Turkish, Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı). İstanbul: Boğaziçi Üniversitesi Yayınları; 1985.
  • de la Morena F, Santander C, Esteban C, et al. Usefulness of ap- plying lidocaine in esophagogastroduodenoscopy performed under sedation with propofol. World J Gastrointest Endosc 2013; 5: 231-9. [CrossRef]
  • McQuaid KR, Laine L. A systematic review and meta-analysis of ran- domized, controlled trials of moderate sedation for routine endo- scopic procedures. Gastrointest Endosc 2008; 67: 910-23. [CrossRef]
  • Amornyotin S. Sedation-related complications in gastrointestinal en- doscopy. World J Gastrointest Endosc 2013; 5: 527-33. [CrossRef]
  • al-Altrakchi HA. Upper gastrointestinal endoscopy without seda- tion: a prospective study of 2000 examinations. Gastrointest En- dosc 1989; 35: 79-81. [CrossRef]
  • Hedenbro JL, Lindblom A. Patient attitudes to sedation for diag- nostic upper endoscopy. Scand J Gastroenterol 1991; 26: 1115- 20. [CrossRef]
  • Abraham N, Barkun A, Larocque M, et al. Predicting which pa- tients can undergo upper endoscopy comfortably without con- scious sedation. Gastrointest Endosc 2002; 56: 180-9. [CrossRef]
  • Chan CK, Fok KL, Poon CM. Flavored anesthetic lozenge ver- sus Xylocaine spray used as topical pharyngeal anesthesia for unsedated esophagogastroduodenoscopy: a randomized place- bo-controlled trial. Surg Endosc 2010; 24: 897-901. [CrossRef]
  • Pereira S, Hussaini SH, Hanson PJ, Wilkinson ML, Sladen GE. Endosco- py: throat spray or sedation? J R Coll Physicians Lond 1994; 28: 411-4.
  • Tsai HI, Tsai YF, Liou SC, et al. The questionable efficacy of topical pharyngeal anesthesia in combination with propofol sedation in gastroscopy. Dig Dis Sci 2012; 57: 2519-26. [CrossRef]
  • Campo R, Brullet E, Montserrat A, Calvet X, Rivero E, Brotons C. Topical pharyngeal anesthesia improves tolerance of upper gas- trointestinal endoscopy: a randomized double-blind study. En- doscopy 1995; 27: 659-64. [CrossRef]
  • Mulcahy HE, Greaves RR, Ballinger A, et al. A double-blind ran- domized trial of low-dose versus high-dose topical anaesthesia in unsedated upper gastrointestinal endoscopy. Aliment Pharmacol Ther 1996; 10: 975-9. [CrossRef]
  • Froehlich F, Schwizer W, Thorens J, Köhler M, Gonvers JJ, Fried M. Con- scious sedation for gastroscopy: patient tolerance and cardiorespira- tory parameters. Gastroenterology 1995; 108: 697-704. [CrossRef]
APA ÇAM H, Pehlivan S, DAĞ M, YILMAZ N, DEMİR U, Gulsen M (2016). Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial. , 103 - 107.
Chicago ÇAM Hakan,Pehlivan Seda,DAĞ Muhammed Sait,YILMAZ Nimet,DEMİR Umut,Gulsen Murat Taner Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial. (2016): 103 - 107.
MLA ÇAM Hakan,Pehlivan Seda,DAĞ Muhammed Sait,YILMAZ Nimet,DEMİR Umut,Gulsen Murat Taner Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial. , 2016, ss.103 - 107.
AMA ÇAM H,Pehlivan S,DAĞ M,YILMAZ N,DEMİR U,Gulsen M Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial. . 2016; 103 - 107.
Vancouver ÇAM H,Pehlivan S,DAĞ M,YILMAZ N,DEMİR U,Gulsen M Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial. . 2016; 103 - 107.
IEEE ÇAM H,Pehlivan S,DAĞ M,YILMAZ N,DEMİR U,Gulsen M "Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial." , ss.103 - 107, 2016.
ISNAD ÇAM, Hakan vd. "Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial". (2016), 103-107.
APA ÇAM H, Pehlivan S, DAĞ M, YILMAZ N, DEMİR U, Gulsen M (2016). Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial. Turkish Journal of Gastroenterology, 27(2), 103 - 107.
Chicago ÇAM Hakan,Pehlivan Seda,DAĞ Muhammed Sait,YILMAZ Nimet,DEMİR Umut,Gulsen Murat Taner Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial. Turkish Journal of Gastroenterology 27, no.2 (2016): 103 - 107.
MLA ÇAM Hakan,Pehlivan Seda,DAĞ Muhammed Sait,YILMAZ Nimet,DEMİR Umut,Gulsen Murat Taner Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial. Turkish Journal of Gastroenterology, vol.27, no.2, 2016, ss.103 - 107.
AMA ÇAM H,Pehlivan S,DAĞ M,YILMAZ N,DEMİR U,Gulsen M Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial. Turkish Journal of Gastroenterology. 2016; 27(2): 103 - 107.
Vancouver ÇAM H,Pehlivan S,DAĞ M,YILMAZ N,DEMİR U,Gulsen M Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial. Turkish Journal of Gastroenterology. 2016; 27(2): 103 - 107.
IEEE ÇAM H,Pehlivan S,DAĞ M,YILMAZ N,DEMİR U,Gulsen M "Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial." Turkish Journal of Gastroenterology, 27, ss.103 - 107, 2016.
ISNAD ÇAM, Hakan vd. "Study of ideal topical pharyngeal anesthesia in upper gastrointestinal system endoscopy: A double-blind, randomized, controlled trial". Turkish Journal of Gastroenterology 27/2 (2016), 103-107.