Journal of Research in Medical Sciences

LETTER TO EDITOR
Year
: 2020  |  Volume : 25  |  Issue : 1  |  Page : 8-

Viscous lidocaine solution versus lidocaine spray for pharyngeal local anesthesia in upper gastroesophageal endoscopy


Reza Aminnejad1, Rosa Alikhani2,  
1 Department of Anesthesiology and Critical Care, Qom University of Medical Sciences, Qom; Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Psychiatry, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Correspondence Address:
Dr. Reza Aminnejad
Department of Anesthesiology and Critical Care, Qom University of Medical Sciences, Qom
Iran




How to cite this article:
Aminnejad R, Alikhani R. Viscous lidocaine solution versus lidocaine spray for pharyngeal local anesthesia in upper gastroesophageal endoscopy.J Res Med Sci 2020;25:8-8


How to cite this URL:
Aminnejad R, Alikhani R. Viscous lidocaine solution versus lidocaine spray for pharyngeal local anesthesia in upper gastroesophageal endoscopy. J Res Med Sci [serial online] 2020 [cited 2020 Sep 21 ];25:8-8
Available from: http://www.jmsjournal.net/text.asp?2020/25/1/8/276177


Full Text



We read the article entitled “Viscous lidocaine solution versus lidocaine spray for pharyngeal local anesthesia in upper gastroesophageal endoscopy” recently published in your valuable journal.[1] When we are planning for an interventional diagnostic or therapeutic procedure, it is not an unusual practice to forget some necessary but out of mind aspects of patient care. Operating rooms or endoscopy units are familiar for us as physicians, but these places can be very stressful for unfamiliar patients. Such as effects of any other acute stress on our daily life, putting the patient in a stressful situation may limit the benefits of therapeutic intervention or it may influence the results of a diagnostic procedure. In routine anesthesiology practice, premedication is the main part of anesthesia care, and in this regard, administration of a benzodiazepine such as midazolam is the key element with the aim of anxiolysis and ante-grade amnesia.[2],[3] Midazolam can supply this aim.[4] Some physicians may refrain from taking such medications to avoid respiratory complications during the procedure, but limiting the dose of midazolam (0.01–0.03 mg/kg for intravenous injection) will be the patient safety guaranty.[5] Taking an appropriate anxiolytic medication is the absolute right of every patient who enters the procedure room.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Khodadoostan M, Sadeghian S, Safaei A, Shavakhi AR, Shavakhi A. Viscous lidocaine solution versus lidocaine spray for pharyngeal local anesthesia in upper gastroesophageal endoscopy. J Res Med Sci 2018;23:102.
2Sebghatollahi V, Tabesh E, Gholamrezaei A, Zandi AR, Minakari M, Shavakhi A. Premedication with benzodiazepines for upper gastrointestinal endoscopy: Comparison between oral midazolam and sublingual alprazolam. J Res Med Sci 2017;22:133.
3Mosaffa F, Mohajerani SA, Aminnejad R, Solhpour A, Dabir S, Mohseni GR. Preemptive oral clonidine provides better sedation than intravenous midazolam in brachial plexus nerve blocks. Anesth Pain Med 2016;6:e28768.
4Salimi A, Nejad RA, Safari F, Mohajaerani SA, Naghade RJ, Mottaghi K. Reduction in labor pain by intrathecal midazolam as an adjunct to sufentanil. Korean J Anesthesiol 2014;66:204-9.
5Alizadeh A, Naseri M, Ravanshad Y, Sorouri S, Banihassan M, Azarfar A. Use of sedative drugs at reducing the side effects of voiding cystourethrography in children. J Res Med Sci 2017;22:42.