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Evid Based Nurs 8:16 doi:10.1136/ebn.8.1.16
  • Treatment

Nebulised lidocaine before nasogastric tube insertion reduced patient discomfort but increased risk of nasal bleeding


 
 Q Does administration of nebulised lidocaine (lignocaine) before nasogastric tube (NGT) insertion reduce patient discomfort?

METHODS

GraphicDesign:

randomised, placebo controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

blinded {patients, clinicians, data collectors, outcome assessors, data analysts, and manuscript writers}*.

GraphicFollow up period:

after NGT was secured.

GraphicSetting:

emergency departments (EDs) of 2 large university hospitals in Australia.

GraphicPatients:

50 patients >18 years of age (50% men) who required a NGT as part of their ED treatment. Exclusion criteria were inability to assess pain (altered mental state, language barrier, or dementia), systolic blood pressure <100 mm Hg, emergency indication for NGT insertion (eg, major trauma), allergy to lidocaine, concurrent administration of intravenous lidocaine, pregnancy, weight <50 kg, pre-existing gag reflex impairment, or reactive airways disease.

GraphicIntervention:

lidocaine, 400 mg, 4 ml of 10% solution (n = 29) or …

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