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Topical anesthesia for peroral endoscopy.

H M Tucker¹, S al Haddad

¹Department of Otolaryngology and Communicative Disorders, Cleveland Clinic Foundation, Ohio.

Ear, Nose, & Throat Journal

|August 1, 1991

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Topical anesthesia for peroral endoscopy is a safe and effective alternative to intubation anesthesia. This review of nearly 2,000 procedures demonstrates a complication rate under 1%.

Area of Science:

Medical procedures
Anesthesiology
Gastroenterology

Background:

Historically, topical or local anesthesia was standard for endoscopic procedures before intubation anesthesia became widespread.
Renewed focus on cost-effectiveness and patient safety in medicine warrants re-evaluation of older anesthetic techniques.

Purpose of the Study:

To review the authors' extensive experience with topical anesthesia for peroral endoscopy.
To present a preferred, effective technique for topical anesthesia in endoscopic procedures.

Main Methods:

Review of nearly 2,000 cases utilizing topical anesthesia for peroral endoscopy.
Description of a specific, preferred topical anesthetic technique.

Main Results:

Related Experiment Videos

The reviewed technique demonstrated effectiveness in nearly 2,000 procedures.
An overall complication rate of less than 1% was achieved.

Conclusions:

Topical anesthesia remains a viable, safe, and cost-effective option for peroral endoscopy.
The presented technique is highly effective with a low complication profile.