Lidocaine mucilage topic anesthesia combined with propofol intravenous anesthesia in elderly patients for painless gastroscopy

doi:10.3969/j.issn.1006-7795.2014.01.007

Abstract

Abstract:

Objective To evaluate efficacy and safety of lidocaine mucilage topical anesthesia combined with propofol intravenous anesthesia in elderly patients for painless gastroscopy. Methods A total of 156 patients were allocated randomly into two groups: lidocaine mucilage and propofol anesthesia group (Group LP, n=78), merely propofol anesthesia group (Group P, n=78). Patients cardiovascular responses, including pulse oxygen saturation (SpO₂), blood pressure (BP), and heart rate (HR), were recorded before, during, and 30 min after gastroscopy. Swallowing reflex during the examination was observed, total dose of the propofol and patients number who would not receive the examination again were documented.Results All patients had finished the examination, without serious nausea and vomiting or obvious body moving. No respiratory depression happened during anesthesia. Cardiovascular responses to the anesthesia and examination were stable and there were no significant differences between both groups(P>0.05). The incidence of cough and throat discomfort were lower in Group LP, when compared with Group P(P<0.05). The total dose of propofol used was less in Group LP than in Group P(P < 0.05). More patients in Group LP would like to receive gastroscopy examination, when compared with Group P(P < 0.05). Conclusion Lidocaine mucilage topical anesthesia combined with intravenous propofol anesthesia is a safe, comfortable and suitable method for elderly patients undergoing painless gastroscopy examination.

Key words: lidocaine mucilage, propofol, elderly patients, painless gastroscopy

CLC Number:

R614.2

Hua Jiang, Guo Yuna. Lidocaine mucilage topic anesthesia combined with propofol intravenous anesthesia in elderly patients for painless gastroscopy[J]. Journal of Capital Medical University, 2014, 35(1): 28-31.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2014.01.007

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2014/V35/I1/28

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