Unsedated Esophagogastroduodenoscopy in Cirrhotic Patients: An Impact of Topical Pharyngeal Anesthesia

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Unsedated Esophagogastroduodenoscopy in Cirrhotic Patients: An Impact of Topical Pharyngeal Anesthesia

Esophagogastroduodenoscopy (EGD) is an endoscopic procedure which is commonly used for diagnostic and therapeutic purposes. The proportion of patients undergoing diagnostic EGD without sedation has been increasing over the past decade. In addition, EGD has several applications specific to the patients with chronic liver disease [1]. Unsedated esophagogastroduodenoscopy (UEGD) is generally safe ...

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Topical Pharyngeal Anesthesia for Unsedated Esophagogastroduodenoscopy Procedure in Sick Patients

Unsedated esophagogastroduodenoscopy (UEGD) is generally safe and can be well tolerated [1,2]. The proportion of patients undergoing diagnostic EGD without sedation has been increasing over the past decade, and previous studies suggest that many patients who receive adequate information about the procedure now choose not to have sedation [3,4]. In Thailand, most of diagnostic and screening EGDs...

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Adverse Event Rate of Unsedated Esophagogastroduodenoscopy: a Comparison Between Healthy Adults and Cirrhotic Patients

Cirrhosis is a common cause of mortality worldwide. The role of endoscopy in liver cirrhosis is of increasing value in the diagnosis and management [1]. Esophagogastroduodenoscopy (EGD) procedure is commonly utilized for the patients with liver cirrhosis. Generally, unsedated EGD procedures are used even in these cirrhotic patients. Several previous studies suggested that many patients who rece...

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Methemoglobinemia due to topical pharyngeal anesthesia during endoscopic procedures

Acquired methemoglobinemia is a known complication of topical anesthesia during endoscopic procedures. Benzocaine has been implicated in a majority of cases and has been removed from some hospital formularies. However, a lot of uncertainty exists about the risk factors for this uncommon complication. This review attempts to summarize the current knowledge of this condition and describe known ri...

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Application of unsedated transnasal esophagogastroduodenoscopy in the diagnosis of hypopharyngeal cancer.

BACKGROUND This study evaluates the efficacy of unsedated transnasal esophagogastroduodenoscopy (EGD) in the diagnosis of hypopharyngeal cancer and screening of esophageal lesions. METHODS Twenty-seven patients with newly diagnosed hypopharyngeal cancer were evaluated by transnasal EGD without conscious sedation. RESULTS Twenty-two hypopharyngeal cancers arose from the pyriform sinus, and t...

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ژورنال

عنوان ژورنال: Journal of Anesthesia & Critical Care: Open Access

سال: 2015

ISSN: 2373-6437

DOI: 10.15406/jaccoa.2015.03.00106