SGEM#302: We Didn’t Start the Fire but Can Antacid Monotherapy Stop the Fire?

Studien extrahiert aus dem Podcast von Dr. Ken Milne

• 2020Antacid Monotherapy Is More Effective in Relieving Epigastric Pain Than in Combination With LidocaineEmergency & ResuscitationIn 89 emergency department patients with epigastric pain or dyspepsia, adding lidocaine to antacid did not reduce pain at 30 minutes versus antacid alone.
• 1990The emergency department treatment of dyspepsia with antacids and oral lidocaineEmergency & ResuscitationIn73 emergency department patients with dyspepsia,antacid plus viscous lidocainereduced epigastric pain at 30 minutesmore thanantacid alone.
• 2003The GI Cocktail is no more effective than plain liquid antacidEmergency & ResuscitationIn 113 ED adults with dyspepsia, antacid plus an anticholinergic, with or without viscous lidocaine,did not improve pain relief compared with antacid alone.