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

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

https://doi.org/10.1136/ebn.8.1.16

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    Cullen L, Taylor D, Taylor S, et al. Nebulized lidocaine decreases the discomfort of nasogastric tube insertion: a randomized, double-blind trial. Ann Emerg Med 2004;44:131–7.OpenUrlCrossRefPubMedWeb of Science

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

    METHODS

    Embedded ImageDesign:

    randomised, placebo controlled trial.

    Embedded ImageAllocation:

    concealed.

    Embedded ImageBlinding:

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

    Embedded ImageFollow up period:

    after NGT was secured.

    Embedded ImageSetting:

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

    Embedded ImagePatients:

    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 …

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    Footnotes

    • ↵* Information provided by author.

    • For correspondence: Dr L Cullen, Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia. louise_culleniprimus.com.au

    • Source of funding: no external funding.