Should lidocaine spray be used to ease nasogastric tube insertion? A double-blind, randomised controlled trial

C P Chan, F L Lau
Hong Kong Medical Journal 2010, 16 (4): 282-6

OBJECTIVE: To investigate the efficacy and safety of lidocaine nasal spray before nasogastric tube insertion in an emergency department.

DESIGN: Double-blind, randomised controlled study.

SETTING: Emergency department of a major regional hospital in Hong Kong.

PATIENTS: A total of 206 adult patients, for whom nasogastric tube insertion was indicated.

MAIN OUTCOME MEASURES: Primary outcome was discomfort gauged on a visual analogue scale, and Likert scale addressing difficulty of nasogastric tube insertion.

RESULTS: Compared with placebo spray use, lidocaine spray use was associated with less patient discomfort, and less difficulty in nasogastric tube insertion, both difference being statistically significant.

CONCLUSION: Intranasal lidocaine spray before nasogastric tube insertion was safe and effective in reducing patient discomfort related to the procedure.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.