The Optimal Timing of the Initiation of Esophagogastroduodenoscopy After Oral Lidocaine Spray
- Registration Number
- NCT06497296
- Lead Sponsor
- National Cheng-Kung University Hospital
- Brief Summary
Esophagogastroduodenoscopy (EGD) is the main examination in the upper gastrointestinal field. Aspiration pneumonia may happen if choking occurs during the EGD insertion, and the exam quality and efficacy may be affected if gag reflex occurs. The endoscopist may terminate the exam to avoid complications if the patient could not obey the orders. To reach the h...
- Detailed Description
This study compares the 1-minute waiting time and 3-minute waiting time between the lidocaine spray and the EGD initiation. During the topical anesthesia stage, investigators give local spray with 6 puff on pharynx at the 0 minute in both groups. After the waiting time, EGD is inserted.
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Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 160
- Eligible participants included patients aged ≥ 20 years who scheduled EGD from OPD for dyspepsia, peptic ulcer disease, GERD, subepithelial lesion evaluation, and diarrhea
- GI bleeding
- endoscopic submucosal dissection due to prolonged scheduled procedure time
- patients from emergency department or ward
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 1-minute group Lidocaine 6 puff of lidocaine was delivered 1 minute before the initiation of EGD insertion 3-minute group Lidocaine 6 puff of lidocaine was delivered 3 minutes before the initiation of EGD insertion
- Primary Outcome Measures
Name Time Method Blood pressure change 1 day The increase level of systolic blood pressure between baseline and during the pharynx insertion of EGD
Heart rate change 1 day The increase level of heart rate between baseline and during the pharynx insertion of EGD
- Secondary Outcome Measures
Name Time Method EGD comfort quality questionnaire score 1 day comfort quality questionnaire will be written by an assistant and the patient after the EGD procedure. The score includes pain feeling (1-5 points), nausea sensation (1-5 points), abdominal fullness (1-5 points). A higher score indicates more discomfort.
Trial Locations
- Locations (1)
Hsueh-Chien Chiang
🇨🇳Tainan, Other (Non U.s.), Taiwan