Annals of emergency medicine
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Randomized Controlled Trial Multicenter Study Clinical Trial
Nebulized lidocaine decreases the discomfort of nasogastric tube insertion: a randomized, double-blind trial.
Nasogastric tube insertion is a common emergency department (ED) procedure that is associated with considerable patient discomfort. The safety and efficacy of nebulized lidocaine for upper airway anesthesia have previously been demonstrated. We determine whether nebulized lidocaine administered before nasogastric tube insertion significantly reduces patient discomfort. ⋯ Nebulized lidocaine decreases the discomfort of nasogastric tube insertion and should be considered before passing a nasogastric tube. An increased frequency of epistaxis, however, may be associated with its use.