Efficacy of lidocaine with or without epinephrine in rigid nasal endoscopy.

Abstract:

BACKGROUND:This study evaluates if there is any benefit of adding epinephrine to lidocaine in patients undergoing diagnostic rigid nasal endoscopy. A prospective, randomized, double-blinded study was performed. METHODS:Seventy patients were randomized to receive either 2% lidocaine or 2% lidocaine with 0.2% epinephrine before rigid nasal endoscopy examination. Patients were asked to report the intensity of pain and discomfort they experienced using visual analog scale. An endoscopist recorded the ease to perform the procedure using the same scale. Intranasal structures visualized were also reported. RESULTS:There were no significant differences in pain, discomfort or ease of exam, or in the percentage of visualized nasal structures between the two groups. In the whole series, there were no significant differences in the studied variables based on gender or indication to perform endoscopy. CONCLUSION:Adding epinephrine to lidocaine has no advantages in patients undergoing diagnostic rigid nasal endoscopy.

journal_name

Am J Rhinol Allergy

authors

Al-Qudah M

doi

10.2500/ajra.2014.28.4110

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

520-2

issue

6

eissn

1945-8924

issn

1945-8932

journal_volume

28

pub_type

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