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?



randomised, placebo controlled trial.




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

GraphicFollow up period:

after NGT was secured.


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


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.


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

No Related Web Pages

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article