The Experts below are selected from a list of 30 Experts worldwide ranked by ideXlab platform
Jason Gongaware - One of the best experts on this subject based on the ideXlab platform.
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using the GI Cocktail a descriptive study
Annals of Emergency Medicine, 1995Co-Authors: Keith Wrenn, Corey M Slovis, Jason GongawareAbstract:Abstract Study objective: To determine practice patterns regarding administration of the "GI Cocktail" (a mixture of liquid antacid, viscous lidocaine, and an anticholinerGIc) in the emergency department in a single hospital and the responses and final dispositions of patients who received the Cocktails. Design: A retrospective review of ED charts. Setting: Urban university hospital ED with an annual census of 50,000 visits. Participants: Ninety-seven consecutive patients who received a GI Cocktail in the ED. Results: Forty-nine patients (50%) received a GI Cocktail for a chief complaint of abdominal pain and 40 (41%) for a chief complaint of chest pain. The reason for administration of a GI Cocktail was documented on only one chart. Sixty-six patients (68%) received at least one other drug, at a median time of 9 minutes before administration of the GI Cocktail. The most commonly coadministered drug was a narcotic (56 patients), followed by nitroglycerin (22 patients), antiemetics (13 patients), H 2 -blockers (13 patients), and aspirin (10 patients). Thirty-three patients (34%) had symptomatic relief with the Cocktail alone, 35 (36%) had symptomatic relief with the Cocktail plus other drugs, 7 (7%) had no response to the GI Cocktail alone, and 5 (5%) had no response to the Cocktail with other drugs. In 17 patients (18%) the response was not documented. Chest pain patients and abdominal pain patients had a similar frequency of response. There was also similarity of response between admitted and discharged patients. Conclusion: Although symptomatic relief after administration of a GI Cocktail is often noted, it is difficult to differentiate the effects of the Cocktail from those of other coadministered medications such as morphine or nitroglycerin. We urge ED physicians to use the GI Cocktail in a rational manner. [Wrenn K, Slovis CM, Gongaware J: Using the "GI Cocktail": A descriptive study. Ann Emerg Med December 1995;26:687-690.]
Kristi L Koenig - One of the best experts on this subject based on the ideXlab platform.
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benzocaine instead of lidocaine in your GI Cocktail
NEJM Journal Watch, 2004Co-Authors: Kristi L KoenigAbstract:Gastrointestinal Cocktails are commonly used in the emergency department for treatment of patients with dyspepsia. Researchers wondered whether
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a GI Cocktail may be no better than an antacid alone
NEJM Journal Watch, 2003Co-Authors: Kristi L KoenigAbstract:The "GI Cocktail," a combination of an antacid, an antispasmodic, and a local anesthetic, is a mainstay of emergency department treatment for
Kate Traynor - One of the best experts on this subject based on the ideXlab platform.
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cost increase spurs review of GI Cocktail components effectiveness
American Journal of Health-system Pharmacy, 2016Co-Authors: Kate TraynorAbstract:At Marion General Hospital in Indiana, an increase in the cost of one component of the facility’s gastrointestinal (GI) “Cocktail” prompted a review of the usefulness of that medication and an evidence-based change to the compounded admixture. Clinical pharmacist Elaine Greene, clinical
Theodore C Chan - One of the best experts on this subject based on the ideXlab platform.
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prospective randomized study of viscous lidocaine versus benzocaine in a GI Cocktail for dyspepsia
Journal of Emergency Medicine, 2004Co-Authors: Gary M Vilke, Albert Jin, Daniel P Davis, Theodore C ChanAbstract:We hypothesized that Benzocaine (Hurricaine) would work as quickly and effectively as viscous Lidocaine in this preparation. This was a prospective randomized, single-blinded comparison between Benzocaine and Lidocaine as the topical anesthetic in a gastrointestinal (GI) Cocktail. Patients 18 years or older were approached for participation when a GI Cocktail was ordered by the Emergency Physician. Patients were randomized to equivalent doses of either Benzocaine or viscous Lidocaine in addition to 30 cc of Maalox and 10 cc of Donnatal. Assessment using a visual analog pain scale occurred at time intervals of 0, 5, 15, and 30 min. Eighty-two patients were enrolled (44 to Benzocaine, 38 to viscous Lidocaine), with each group having a statistically significant improvement in pain (p < 0.001). There were no statistical differences between the Benzocaine and viscous Lidocaine groups in terms of the relief of symptoms at each of the assessment times. There were no adverse outcomes in either group.
Keith Wrenn - One of the best experts on this subject based on the ideXlab platform.
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using the GI Cocktail a descriptive study
Annals of Emergency Medicine, 1995Co-Authors: Keith Wrenn, Corey M Slovis, Jason GongawareAbstract:Abstract Study objective: To determine practice patterns regarding administration of the "GI Cocktail" (a mixture of liquid antacid, viscous lidocaine, and an anticholinerGIc) in the emergency department in a single hospital and the responses and final dispositions of patients who received the Cocktails. Design: A retrospective review of ED charts. Setting: Urban university hospital ED with an annual census of 50,000 visits. Participants: Ninety-seven consecutive patients who received a GI Cocktail in the ED. Results: Forty-nine patients (50%) received a GI Cocktail for a chief complaint of abdominal pain and 40 (41%) for a chief complaint of chest pain. The reason for administration of a GI Cocktail was documented on only one chart. Sixty-six patients (68%) received at least one other drug, at a median time of 9 minutes before administration of the GI Cocktail. The most commonly coadministered drug was a narcotic (56 patients), followed by nitroglycerin (22 patients), antiemetics (13 patients), H 2 -blockers (13 patients), and aspirin (10 patients). Thirty-three patients (34%) had symptomatic relief with the Cocktail alone, 35 (36%) had symptomatic relief with the Cocktail plus other drugs, 7 (7%) had no response to the GI Cocktail alone, and 5 (5%) had no response to the Cocktail with other drugs. In 17 patients (18%) the response was not documented. Chest pain patients and abdominal pain patients had a similar frequency of response. There was also similarity of response between admitted and discharged patients. Conclusion: Although symptomatic relief after administration of a GI Cocktail is often noted, it is difficult to differentiate the effects of the Cocktail from those of other coadministered medications such as morphine or nitroglycerin. We urge ED physicians to use the GI Cocktail in a rational manner. [Wrenn K, Slovis CM, Gongaware J: Using the "GI Cocktail": A descriptive study. Ann Emerg Med December 1995;26:687-690.]