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KMID : 1038820170200020087
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Pediatric Gastroenterology, Hepatology & Nutrition
2017 Volume.20 No. 2 p.87 ~ p.93
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Investigation of Efficacy of Lidocaine Spray for Sedated Esophagogastroduodenoscopy in Children
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Basturk Ahmet
Artan Reha
Yılmaz Aygen
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Abstract
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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 topicallidocaine 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.
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KEYWORD
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Child, Esophagogastroduodenoscopy, Lidocaine spray, Sore throat, Gag reflex
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