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Endoscopy advanced practice nurse

Javier Crespo, Álvaro Terán
The development of endoscopy and its increasing demand among the population have led to a growing need for propofol-based sedation techniques. Benefit is indisputable for both patients and endoscopists, but some aspects require considering the "who" and "how" of sedation as related to safety and health care costs. Propofol is first-choice in endoscopy for the European Society of Gastrointestinal Endoscopy because of its fast onset of action and short half-life, and many reports exist on its safety when used by gastroenterologists rather than anesthesiologists...
April 2018: Revista Española de Enfermedades Digestivas
Lara Luzón Solanas, Leticia Ollero Domenche, Eva María Sierra Moros, José Val Pérez, María Teresa Soria San Teodoro, Teresa Giménez Júlvez, Rafael Uribarrena Amezaga
INTRODUCTION: propofol administered by an endoscopist with a trained nurse has evolved as an alternative to anesthesia monitoring and is increasingly common in the routine clinical practice, even in advanced endoscopy. OBJECTIVE: to evaluate the safety of deep sedation with endoscopist-controlled propofol in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). MATERIAL AND METHODS: this was a prospective study in patients undergoing ERCP under deep sedation with propofol...
April 2018: Revista Española de Enfermedades Digestivas
Nerissa Duncan, Deanne Bonney, Catherine Au, Cheyne Chalmers, Paul N Bennett
In Australia, nurses performing endoscopic procedures is a recent phenomenon and is uncommon. Challenges include gastroenterologist and patient acceptance of the nurse endoscopist role. This article aims to explore Monash Health's experience with the introduction of a nurse endoscopist. A nurse endoscopist trainee undertook a comprehensive training program under the supervision of a gastroenterologist. All procedural data were collected, organizational policy and procedures were developed, and patients (n = 40) completed a telephone interview postprocedure...
September 2017: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
Christine Duffield, Susan Chapman, Samantha Rowbotham, Nicole Blay
Increasing demands for health care globally often lead to discussions about expanding the involvement of nurses in a range of nontraditional roles. Several countries have introduced nurse endoscopists as a means of easing the burden of demand for a range of endoscopic procedures. A shortage of medical staff in Australia combined with increasing demand for endoscopy led to the implementation of nurse endoscopists as a pilot program in the state of Queensland, where a nurse practitioner model was implemented, and Victoria, where an advanced practice model was used...
February 2017: Policy, Politics & Nursing Practice
Pradeep Kumar
Many prevalent practices and guidelines related to Gastrointestinal endoscopy and procedural sedation are at odds with the widely available scientific-physiological and clinical outcome data. In many institutions, strict policy of pre-procedural extended fasting is still rigorously enforced, despite no evidence of increased incidence of aspiration after recent oral intake prior to sedation. Supplemental oxygen administration in the setting of GI procedural sedation has been increasingly adopted as reported in the medical journals, despite clear evidence that supplemental oxygen blunts the usefulness of pulse oximetry in timely detection of sedation induced hypoventilation, leading to increased number of adverse cardiopulmonary outcomes...
December 16, 2014: World Journal of Gastrointestinal Endoscopy
Rubén Cuesta, Javier Sola-Vera, Francisco Uceda, Mariana Fe García Sepulcre, Elena Morillo, Narcís Vázquez
OBJECTIVE. During colonoscopy, advancing the endoscope can sometimes be difficult due to the appearance of loops or bends in the insertion tube. Therefore, research continues toward improving colonoscope technology. The aim of this study is to compare the use of colonoscopes equipped with "responsive insertion technology" (RIT) versus regular non-RIT colonoscopes. MATERIALS AND METHODS. Prospective, comparative and randomized trials that included patients submitted to colonoscopy. In group I, RIT colonoscopes were used, while in group II, colonoscopies with variable stiffness but without the other components of the RIT technology were used...
March 2014: Scandinavian Journal of Gastroenterology
Donald MacIntosh, Catherine Dubé, Roger Hollingworth, Sander Veldhuyzen van Zanten, Sandra Daniels, George Ghattas
BACKGROUND: Increasing use of gastrointestinal endoscopy, particularly for colorectal cancer screening, and increasing emphasis on health care quality highlight the need for endoscopy facilities to review the quality of the service they offer. OBJECTIVE: To adapt the United Kingdom Global Rating Scale (UK-GRS) to develop a web-based and patient-centred tool to assess and improve the quality of endoscopy services provided. METHODS: Based on feedback from 22 sites across Canada that completed the UK endoscopy GRS, and integrating results of the Canadian consensus on safety and quality indicators in endoscopy and other Canadian consensus reports, a working group of endoscopists experienced with the GRS developed the GRS-Canada (GRS-C)...
February 2013: Canadian Journal of Gastroenterology, Journal Canadien de Gastroenterologie
John K Triantafillidis, Emmanuel Merikas, Dimitrios Nikolakis, Apostolos E Papalois
Diagnostic and therapeutic endoscopy can successfully be performed by applying moderate (conscious) sedation. Moderate sedation, using midazolam and an opioid, is the standard method of sedation, although propofol is increasingly being used in many countries because the satisfaction of endoscopists with propofol sedation is greater compared with their satisfaction with conventional sedation. Moreover, the use of propofol is currently preferred for the endoscopic sedation of patients with advanced liver disease due to its short biologic half-life and, consequently, its low risk of inducing hepatic encephalopathy...
January 28, 2013: World Journal of Gastroenterology: WJG
Mohammad Imran Khan, Robert Khan, Wanda Owen
No abstract text is available yet for this article.
December 2011: Nursing New Zealand, Kai Tiaki
Stephanie Ryle
Currently, there is a scarcity of research evaluating the safety of performing endoscopies, with or without biopsies, among anticoagulated patients. The purpose of this study was to perform an integrative literature review of current research from 1999 through 2005 on anticoagulant management options and outcomes for postpolypectomy patients. Imogene King's model of nursing was used as a guide for this study. Ten research studies were identified via computerized search of the Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and PubMed databases and were limited to studies published in English and studies of rigorous design reporting evidence of direct management...
September 2008: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
Evan S Dellon, Quinn K Lippmann, Robert S Sandler, Nicholas J Shaheen
BACKGROUND & AIMS: The effect of gastrointestinal endoscopy nursing experience on polyp detection is unknown. The aim of this study was to determine whether nurse experience is associated with odds of polyp detection. METHODS: We performed a retrospective analysis of screening colonoscopies performed by attendings at University of North Carolina hospitals between August 2003 and 2005. Nurse experience was dichotomized at 6 months. The primary outcome was polyp detection, with secondary analysis by histologic type...
December 2008: Clinical Gastroenterology and Hepatology
Brenda Ruthruff
PURPOSE: This clinical review presents proposed theories regarding the etiology of Crohn's disease (CD), the pathophysiology of the disorder, and current diagnostic methods. DATA SOURCES: Pertinent publications in the literature, the Crohn's and Colitis Foundation web page, and relevant texts regarding pathophysiology of the gastrointestinal system. CONCLUSIONS: CD can be a devastating disease and difficult to diagnose. The advanced practice nurse (APRN) should be aware of the etiology, pathophysiology, diagnostic methods, and current treatment options of this disorder...
August 2007: Journal of the American Academy of Nurse Practitioners
Juergen Hochberger, Juergen Maiss
The introduction of the ex vivo tissue endoscopy simulators represents a major advance in endoscopic training, particularly in therapeutic endoscopy. The simulators have been popular teaching tools from the start, and the data supporting their benefit are accruing, especially in hemostasis training. Simulators like the compact EASIE may prove most beneficial as training tools for interventional skills that require repetitive practice and a larger volume of procedures than may occur naturally during the course of standard endoscopy practice...
July 2006: Gastrointestinal Endoscopy Clinics of North America
Caroline Brady Nevin
Advanced nurse practitioners are frequently perceived as "mini doctors," concerned more with the biomedical and technical aspects of healthcare than with the holistic, psychological elements. With an interest in advanced practice roles within the Irish context, a questionnaire designed to examine nurses' perceptions was administered to a convenience sample of 70 endoscopy nurses from six urban endoscopy departments. Findings indicate these nurses are generally positive in their attitudes, but they have concerns about the perceived increased vulnerability to litigation, exploitation, and fragmentation of their nursing role...
July 2005: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
Anne Macdonald
No abstract text is available yet for this article.
August 2002: Professional Nurse
E M-A Melleney, C P Willoughby
As a response to the UK Health Department's "two week cancer wait" initiative a one stop dyspepsia clinic based on a nurse endoscopist was introduced, and the first 100 cases attending this clinic have been audited. After referral on a purpose designed form, patients were assessed by a gastroenterologist and then investigated at the same visit--where possible and appropriate--by endoscopy or ultrasound scan. All endoscopies were performed by a trained nurse specialist. Of the 100 patients, 84 were gastroscoped the same day and 11 had an ultrasound scan...
March 2002: Postgraduate Medical Journal
K B Wright
The use of nurse endoscopists in the specialty of gastroenterology has gained recent support in the United States. While studies using nurse endoscopists have documented positive patient outcomes, including cost effectiveness, public access to cancer screening, and patient satisfaction, research regarding the training and experiences of nurse endoscopists is almost nonexistent. This article presents findings from an exploratory, descriptive study of 17 gastroenterology nurse endoscopists in the United States...
March 2000: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
D C Barnie
In May 1998, we celebrated the 25th anniversary of the Society of Gastroenterology Nurses & Associates (SGNA). It was in 1974 that a group of dedicated people met in San Francisco under the leadership of Marna Harmon Schirmer to found an organization dedicated to the professional needs of health care providers working in the gastroenterology diagnostic and treatment setting. Through the efforts of these dedicated people and those who followed them, this organization has grown into the recognized specialty SGNA is today...
January 2000: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
V A Saraswat, R K Tandon
A structured endoscopy training program with clear goals for proper teaching and evaluation serves to alleviate apprehensions in the minds of trainees regarding this crucial area. It also ensures that training is acquired not in isolation but in the setting of ongoing patient care, so that the emphasis is on how the procedure fits into the overall management plan for the patient. By specifying the details of the endoscopy unit set-up, the qualifications of the trainer and the number of procedures to be performed by the trainee, it is hoped that uniformity will be produced in the quality of training imparted, whether it be in a teaching or a non-teaching hospital...
October 1999: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
M Gerzeny, A R Cohen
This article describes the authors' experience using neuroendoscopes to perform a variety of intracranial procedures with minimal invasiveness to neural tissue. The article also presents the history of neuroendoscopy and provides information about current practice. Surgical technique and intraoperative and postoperative nursing considerations are reviewed.
May 1998: AORN Journal
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