Comparison of Topical and Nebulized Anesthesia in Patients Undergoing Esophago-Gastro-Duodenoscopy

Comparison of Topical and Nebulized Anesthesia in Patients Undergoing Esophago-Gastro-Duodenoscopy

This study compares the effect of nebulized lidocaine and lidocaine spray in patients undergoing esophago-gastro-duodenoscopy. The investigators evaluate the success rate of the procedure between two methods.

This is a randomized-controlled trial in the patients undergoing esophago-gastro-duodenoscopy. The patients are randomized by computer into two arms: nebulized lidocaine and lidocaine spray. Both drugs are applied 15-20 minutes prior the prior the procedure. Only one endoscopist participate in this study. After the procedure finishes, the investigators evaluate the outcome and satisfaction of patients and endoscopist.

Inclusion Criteria:

• elective case for esophago-gastro-duodenoscopy with ASA classification 1-2
• Both genders
• Age between 18-65 years

Exclusion Criteria:

• History of smoking
• Upper respiratory tract infection
• Asthma
• Heart disease
• Allergy to local anesthetic drugs

Withdrawal or termination criteria

• Patient refusal
• Patient develops lidocaine allergy
• Bronchospasm
• Sign of Local Anesthetic Toxicity