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| 1 | Posterior lingual lidocaine: A novel method to improve tolerance in upper gastrointestinal endoscopy显示文摘AIM: To evaluate the effect of posterior lingual lidocaine swab on patient tolerance to esophagogastro-duodenoscopy, the ease of performance of the procedure, and to determine if such use will reduce the need for intravenous sedation. METHODS: Eighty patients undergoing diagnostic esophagogastroduodenoscopy in a tertiary care medical center were randomized to either lidocaine swab or spray. Intravenous meperidine and midazolam were given as needed during the procedure. RESULTS: Patients in the lidocaine swab group (SWG) tolerated the procedure better than those in the spray group (SPG) with a median tolerability score of 2 (1, 4) compared to 4 (2, 5) (P < 0.01). The endoscopists encountered less diffi culty performing the proceduresin the SWG with lower median difficulty scores of 1 (1, 5) compared to 4 (1, 5) in the SPG (P < 0.01). In addition, the need for intravenous sedation was also lower in the SWG compared to the SPG with fewer patients requiring intravenous sedation (13/40 patients vs 38/40 patients, respectively, P < 0.01). The patients in the SWG were more satisfi ed with the mode of local anesthesia they received as compared to the SPG. In addition, the endoscopists were happier with the use of lidocaine swab. CONCLUSION: The use of a posterior lingual lidocaine swab in esophagogastroduodenoscopy improves patient comfort and tolerance and endoscopist satisfaction and decreases the need for intravenous sedation. | Assaad M Soweid Shadi R Yaghi Faek R Jamali Abdallah A Kobeissy Michella E Mallat Rola Hussein Chakib M Ayoub | 2011 | World Journal of Gastroenterology2011，17，47： | 2 |
| 2 | Periphyton growth on submerged artificial substrate as a predictor of phytoplankton response to nutrient enrichment显示文摘 | Smoot J C Donald E L Michella L | 1998 | Journal of Microbiological Methods1998，，32： | 1 |
| 3 | A simple,nonchromatographic procedure to purify immunoglobulins from serum and ascites fluid显示文摘 | Andrew P | 1987 | Journal of Immunological Methods1987，96，： | 1 |
| 4 | Genetic and environmental influences on total plasma homocysteine and its role in coronary artery disease risk显示文摘 | Michella Ghassibe-Sabbagh Daniel E. Platt Sonia Youhanna Antoine B. Abchee Krista Stewart Danielle A. Badro Marc Haber Angelique K. Salloum Bouchra Douaihy Hamid el Bayeh Raed Othman Nabil Shasha Samer Kibbani Elie Chammas Aline Milane Rita Nemr Yoichiro | 2012 | Atherosclerosis2012，，1： | 1 |
| 5 | Producing and marketing a specialty egg 显示文摘 | Michella SM Slaugh BT | 2000 | Poult Sci2000，79，： | 1 |
| 6 | Community Integration : Island Tourism in Peru 显示文摘 | Ross Michella Donald G Reid | 2001 | Annals of Tourism Research2001，28，1： | 1 |
| 7 | Periphyton growth on submerged artificial substrate as a predictor of phytoplankton response to nutrient enrichment显示文摘 | Smoot J C Donald E L Michella L | 1998 | Journal of Microbiological Methods1998，32，： | 1 |
| 8 | Ge- netic and environmental influences on total plasma ho- mocysteine and its role in coronary artery disease risk显示文摘 | Michella Ghassibe-Sabbagha Daniel E Platt B | 2012 | Atherosclerosis2012，222，1： | 1 |
| 9 | A simple,non-chromatog raphic procedure to purify immunoglobulins from serum and ascites fluid显示文摘 | Andrew P | 1987 | Journal of Immunological Methods1987，96，： | 1 |
| 10 | Producing and marketing a specialty egg显示文摘 | Michella SM Slaugh BT | 2000 | Poul Sci2000，79，： | 1 |
| 11 | A simple, non-chrom atog raphic procedure to purify immunoglobulins from serum and ascites fluid显示文摘 | Michella MMm Andrew P | 1987 | Journal of Immunological Methods1987，96，： | 1 |
| 12 | Scale model testing of a commercial rim-driven propulsor pod显示文摘 | Michella Lea Donald Thompson Bill Van Blarcom | 2003 | Journal of Ship Production2003，19，2： | 1 |
| 13 | A simple,non-chromatographic procedure to purify immunoglobulins from serum and aseites fluid显示文摘 | Michella M M Andrew P | 1987 | Journal of Immunological Methods1987，96，： | 1 |
| 14 | Atypical myeloproliferative disorders: diagnosis and management 显示文摘 | Ayalew T Michella AE | 2006 | Mayo Clin Proc2006，81，4： | 1 |
| 15 | Periphyton growth on submerged artificial substrata as a predictor of phytoplankton response to nutrient enrichment显示文摘 | Smoot J C Donald E L Michella L | 1998 | Journal of Microbiological Methods1998，32，： | 1 |
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