Glossopharyngeal Nerve Block versus Lidocaine Spray to Improve Tolerance in Upper Gastrointestinal Endoscopy
Aim of the Study. To compare the effect of glossopharyngeal nerve block with topical anesthesia on the tolerance of patients to upper gastrointestinal endoscopy. Methods. We performed a clinical trial in one hundred patients undergoing upper gastrointestinal endoscopy. Subjects were randomly assigne...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/264509 |
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| author | Moisés Ortega Ramírez Benigno Linares Segovia Marco Antonio García Cuevas Jorge Luis Sánchez Romero Illich Botello Buenrostro Norma Amador Licona Juan Manuel Guízar Mendoza Jesús Francisco Guerrero Romero Víctor Manuel Vázquez Zárate |
| author_facet | Moisés Ortega Ramírez Benigno Linares Segovia Marco Antonio García Cuevas Jorge Luis Sánchez Romero Illich Botello Buenrostro Norma Amador Licona Juan Manuel Guízar Mendoza Jesús Francisco Guerrero Romero Víctor Manuel Vázquez Zárate |
| author_sort | Moisés Ortega Ramírez |
| collection | DOAJ |
| description | Aim of the Study. To compare the effect of glossopharyngeal nerve block with topical anesthesia on the tolerance of patients to upper gastrointestinal endoscopy. Methods. We performed a clinical trial in one hundred patients undergoing upper gastrointestinal endoscopy. Subjects were randomly assigned to one of the following two groups: (1) treatment with bilateral glossopharyngeal nerve block (GFNB) and intravenous midazolam or (2) treatment with topical anesthetic (TASS) and intravenous midazolam. We evaluated sedation, tolerance to the procedure, hemodynamic stability, and adverse symptoms. Results. We studied 46 men and 54 women, from 17 to 78 years of age. The procedure was reported without discomfort in 48 patients (88%) in the GFNB group and 32 (64%) in the TAAS group; 6 patients (12%) in GFNB group and 18 (36%) in TAAS group reported the procedure as little discomfort (χ2=3.95, P=0.04). There was no difference in frequency of nausea (4% in both groups) and retching, 4% versus 8% for GFNB and TASS group, respectively (P=0.55). Conclusions. The use of glossopharyngeal nerve block provides greater comfort and tolerance to the patient undergoing upper gastrointestinal endoscopy. It also reduces the need for sedation. |
| format | Article |
| id | doaj-art-bf783f545289432ca80915ffaff5014b |
| institution | DOAJ |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-bf783f545289432ca80915ffaff5014b2025-08-20T03:23:08ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/264509264509Glossopharyngeal Nerve Block versus Lidocaine Spray to Improve Tolerance in Upper Gastrointestinal EndoscopyMoisés Ortega Ramírez0Benigno Linares Segovia1Marco Antonio García Cuevas2Jorge Luis Sánchez Romero3Illich Botello Buenrostro4Norma Amador Licona5Juan Manuel Guízar Mendoza6Jesús Francisco Guerrero Romero7Víctor Manuel Vázquez Zárate8PEMEX Regional Hospital Salamanca, Subdirección de Servicios de Salud, Gerencia de Servicios Médicos. Av. Tampico 910 Col. Bellavista, 36730 Salamanca, Guanajuato, MexicoPEMEX Regional Hospital Salamanca, Subdirección de Servicios de Salud, Gerencia de Servicios Médicos. Av. Tampico 910 Col. Bellavista, 36730 Salamanca, Guanajuato, MexicoPEMEX Regional Hospital Salamanca, Subdirección de Servicios de Salud, Gerencia de Servicios Médicos. Av. Tampico 910 Col. Bellavista, 36730 Salamanca, Guanajuato, MexicoPEMEX Regional Hospital Salamanca, Subdirección de Servicios de Salud, Gerencia de Servicios Médicos. Av. Tampico 910 Col. Bellavista, 36730 Salamanca, Guanajuato, MexicoPEMEX Regional Hospital Salamanca, Subdirección de Servicios de Salud, Gerencia de Servicios Médicos. Av. Tampico 910 Col. Bellavista, 36730 Salamanca, Guanajuato, MexicoInstituto Mexicano del Seguro Social, Director of Education and Research, UMAE HE 1, Paseo de los Insurgentes SN, Colonia Paraísos, 37150 León, Guanajuato, MexicoUniversidad De LaSalle Bajío, School of Dentistry, Av. Universidad 602, Col. Lomas del Campestre, 37150 León, Guanajuato, MexicoPEMEX Regional Hospital Salamanca, Subdirección de Servicios de Salud, Gerencia de Servicios Médicos. Av. Tampico 910 Col. Bellavista, 36730 Salamanca, Guanajuato, MexicoPEMEX Subdirección de Servicios de Salud, Av. Marina Nacional 350 Col. Petroleos Mexicanos, 11311 Distrito Federal, MexicoAim of the Study. To compare the effect of glossopharyngeal nerve block with topical anesthesia on the tolerance of patients to upper gastrointestinal endoscopy. Methods. We performed a clinical trial in one hundred patients undergoing upper gastrointestinal endoscopy. Subjects were randomly assigned to one of the following two groups: (1) treatment with bilateral glossopharyngeal nerve block (GFNB) and intravenous midazolam or (2) treatment with topical anesthetic (TASS) and intravenous midazolam. We evaluated sedation, tolerance to the procedure, hemodynamic stability, and adverse symptoms. Results. We studied 46 men and 54 women, from 17 to 78 years of age. The procedure was reported without discomfort in 48 patients (88%) in the GFNB group and 32 (64%) in the TAAS group; 6 patients (12%) in GFNB group and 18 (36%) in TAAS group reported the procedure as little discomfort (χ2=3.95, P=0.04). There was no difference in frequency of nausea (4% in both groups) and retching, 4% versus 8% for GFNB and TASS group, respectively (P=0.55). Conclusions. The use of glossopharyngeal nerve block provides greater comfort and tolerance to the patient undergoing upper gastrointestinal endoscopy. It also reduces the need for sedation.http://dx.doi.org/10.1155/2013/264509 |
| spellingShingle | Moisés Ortega Ramírez Benigno Linares Segovia Marco Antonio García Cuevas Jorge Luis Sánchez Romero Illich Botello Buenrostro Norma Amador Licona Juan Manuel Guízar Mendoza Jesús Francisco Guerrero Romero Víctor Manuel Vázquez Zárate Glossopharyngeal Nerve Block versus Lidocaine Spray to Improve Tolerance in Upper Gastrointestinal Endoscopy Gastroenterology Research and Practice |
| title | Glossopharyngeal Nerve Block versus Lidocaine Spray to Improve Tolerance in Upper Gastrointestinal Endoscopy |
| title_full | Glossopharyngeal Nerve Block versus Lidocaine Spray to Improve Tolerance in Upper Gastrointestinal Endoscopy |
| title_fullStr | Glossopharyngeal Nerve Block versus Lidocaine Spray to Improve Tolerance in Upper Gastrointestinal Endoscopy |
| title_full_unstemmed | Glossopharyngeal Nerve Block versus Lidocaine Spray to Improve Tolerance in Upper Gastrointestinal Endoscopy |
| title_short | Glossopharyngeal Nerve Block versus Lidocaine Spray to Improve Tolerance in Upper Gastrointestinal Endoscopy |
| title_sort | glossopharyngeal nerve block versus lidocaine spray to improve tolerance in upper gastrointestinal endoscopy |
| url | http://dx.doi.org/10.1155/2013/264509 |
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