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Intravenous Infusion of Lidocaine in Gastroscopy

Phase 4
Conditions
Sedation
Interventions
Drug: placebo
Registration Number
NCT04439773
Lead Sponsor
Shandong University
Brief Summary

Intravenous infusion of lidocaine significantly reduces incidence of bucking when perfomed gastroscopy.

Detailed Description

This study divide patients into two groups, the patients in lidocaine group will be given lidocaine; the control group will be given placebo .the primary endopiont was to investigate whether intravenous lidocaine can reduce incidence of bucking and movement in sedation of gastroscopy.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
130
Inclusion Criteria

patients aged >18 years who were scheduled for ERCP at Qilu hospital.

Exclusion Criteria

patients with ASA (American Society of Anesthesiologists) Class 4 or 5, pre-existing hypoxemia (SpO2 <90%), hypotension (systolic blood pressure <90 mm Hg), bradycardia (HR<50 beats/min), uncontrolled hypertension (SBP >170 mm Hg, diastolic blood pressure>100 mm Hg), severe renal or liver failure, pregnancy or lactation, allergy to lidocaine, atrioventricular block, epilepsy, and inability to give informed consen

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
control groupplacebothe control group will be given the same volume of saline as the experimental group
lidocaine groupLidocainethe experimental group will be given l-1.5mg lidocaine and then 2mg/kg/h
Primary Outcome Measures
NameTimeMethod
the incidence of bucking during the procedurehalf a year

the difference between incidence of bucking of the two groups

Secondary Outcome Measures
NameTimeMethod
propofol consumption difference between the two groupshalf a year

the total propofol dosage consumption between the two groups

the incidence of infusion pain when adminstrated propofolhalf a year

the infusion pain devied into no pain, mild pian, and severe pain

Safety assessed by the rate of hypoxia during the procedurehalf a year

Hypoxia, defined as peripheral oxygen saturation \<90% for \>30 seconds

Safety assessed by the rate of hypotention during the procedurehalf a year

Hypotension, defined as systolic blood pressure \<90 mmHg

Safety assessed by the rate of breadycardia during the procedurehalf a year

Bradycardia, defined as heart rate \<50 beats/min

Safety assessed by the rate of required airway management during the procedurehalf a year

Required airway management such as jaw lifting, mask ventilation, or tracheal intubation in severe hypoxia Required airway management such as jaw lifting, mask ventilation, or tracheal intubation in severe hypoxia

endoscopists satisfaction assessed by the performerhalf a year

the endoscopists satisfacition score were assessed on a 0-10VAS after the procedure

patient satisfaction assessed by the patienthalf a year

the patient satisfacition score were assessed on a 0-10VAS 30mins after the procedure

anesthetist satisfactionhalf a year

the anesthetist satisfacition score were assessed on a 0-10VAS 30mins after the procedure

pain socre after the gastroscopyhalf a year

pain were measured on a 0-10VAS at arrival in the recovery room ,30min later

fatigue score after the ERCPhalf a year

fatigue were measured on a 0-10VAS at arrival in the recovery room ,30min later

Trial Locations

Locations (1)

Department of Gastroenterology, Qilu Hospital, Shandong University

🇨🇳

Jinan, Shandong, China

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