Turkish Journal of Gastroenterology
Original Article

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

1.

Department of Gastroenterology, Gaziantep University School of Medicine, Gaziantep, Turkey

2.

Department of Nursing, Uludağ University School of Health, Bursa, Turkey

Turk J Gastroenterol 2016; 27: 103-107
DOI: 10.5152/tjg.2015.150322
Read: 59 Downloads: 8 Published: 25 July 2019

Abstract

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. 

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EISSN 2148-5607
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