Does Use of Topical Lidocaine in EGD Reduce Amount of IV Midazolam and Fentanyl Required and Shorten Recovery Time

Inclusion Criteria: * EGD alone performed by staff gastroenterologist as an outpatient * Between the age of 18 and 89 * Not requiring anesthesia support or use of medications other than fentanyl and midazolam Exclusion Criteria: * Prior history of head and neck surgery * Known hypersensitivity to local anesthetics, the amide type or any components of the topical lidocaine * Patients having interventions other than polypectomy performed * Pregnant or breast feeding females * Patients with severe liver impairment * Known hypersensitivity to benzodiazepine or fentanyl