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Nurse endoscopist

Justin L Lockman, Alan Jay Schwartz, Peter F Cronholm
BACKGROUND: Unprofessional behavior is a significant problem throughout graduate medical education programs and medical centers. Some authors have suggested that professionalism curricula should be focused toward faculty, not trainees, to interrupt the modeling of unprofessionalism. Developing such curricula requires a needs assessment and is challenging given data indicating that the definition of professionalism varies based on medical specialty. Thus, a specialty-specific definition of professionalism is needed as a first step in any curriculum development...
February 2017: Paediatric Anaesthesia
Ryota Niikura, Naoyoshi Nagata, Hisashi Doyama, Ryosuke Ota, Naoki Ishii, Katsuhiro Mabe, Tsutomu Nishida, Takuto Hikichi, Kazuki Sumiyama, Jun Nishikawa, Toshio Uraoka, Shu Kiyotoki, Mitsuhiro Fujishiro, Kazuhiko Koike
AIM: To clarify the current state of practice for colonic diverticular bleeding (CDB) in Japan. METHODS: We conducted multicenter questionnaire surveys of the practice for CDB including clinical settings (8 questions), diagnoses (8 questions), treatments (7 questions), and outcomes (4 questions) in 37 hospitals across Japan. The answers were compared between hospitals with high and low number of inpatient beds to investigate which factor influenced the answers. RESULTS: Endoscopists at all 37 hospitals answered the questions, and the mean number of endoscopists at these hospitals was 12...
December 16, 2016: World Journal of Gastrointestinal Endoscopy
Tessa Verlaan, Fraukje A M Ponds, Barbara A J Bastiaansen, Albert J Bredenoord, Paul Fockens
: Background and aims: After Peroral Endoscopic Myotomy (POEM), the mucosal incision is closed with endoscopically applied clips. After each clip placement, a subsequent clipping device has to be introduced through the working channel. With the Clipmaster3, three consecutive clips can be placed without reloading which could reduce closure time. We performed a prospective study evaluating efficacy, safety, and ease of use. Closure using Clipmaster3 was compared to closure with standard clips...
October 2016: Endoscopy International Open
A Behrens, C Ell
INTRODUCTION: Administering sedation is an established standard in gastrointestinal endoscopy, particularly in situations in which sedation is used to make the examination more comfortable for the patient (e. g., during preventive check-up examinations). It is important to have precise information about the risk of sedation-associated complications. AIMS AND METHODS: The aim of this study was to record the incidence and type of sedation-associated complications in a low-risk group of patients (ASA 1 or 2) undergoing elective diagnostic esophagogastroduodenoscopy or colonoscopy...
August 2016: Zeitschrift Für Gastroenterologie
Douglas K Rex
Endoscopist-directed propofol (EDP) refers to delivery of propofol for endoscopic sedation under the direction of an endoscopist without any involvement of an anesthesia specialist (anesthesiologist or nurse anesthetist). EDP has been proven to be safe and is also cost-effective compared with the anesthetist delivered sedation for endoscopy. EDP has been endorsed by US gastroenterology societies as an appropriate paradigm for clinical practice. EDP has proliferated in Switzerland and Germany, but its expansion in the United States has been limited by financial disincentives, concerns about medical-legal risk for endoscopists, and regulatory obstacles...
July 2016: Gastrointestinal Endoscopy Clinics of North America
Maartje M van de Meeberg, Rob J Th Ouwendijk, Pieter C J Ter Borg, Sven J van den Hazel, Paul C van de Meeberg
BACKGROUND AND STUDY AIMS: Conventional reporting of polyps is often incomplete. We tested the Polyp Manager (PM), a new software application permitting the endoscopist to document polyps in real time during colonoscopy. We studied completeness of polyp descriptions, user-friendliness and the potential time benefit. PATIENTS AND METHODS: In two Dutch hospitals colonoscopies were performed with PM (as a touchscreen endoscopist-operated device or nurse-operated desktop application)...
May 2016: Endoscopy International Open
Ali Mothanna Al-Zubaidi, Abdelfattah Abdelqader Al-Shadadi, Hassan Uthman Alghamdy, Abdu Hassan Alzobady, Laeeque Ahmed Al-Qureshi, Ibraheem Mohammed Al-Bakri
Although sedation and analgesia for patients undergoing colonoscopy are the standard practice in western countries, non-sedated colonoscopy is still in practice in Europe and the Far East. This variation in sedation practice relies on the different cultural attitudes of both patients and endoscopists across these countries. Data from the literature consistently report that, in non-sedated patients, the use of alternative techniques, such as water irrigation or carbon dioxide insufflation, can allow a high-quality and well-tolerated examination...
March 2016: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
(no author information available yet)
No abstract text is available yet for this article.
March 9, 2016: Nursing Standard
Stephen A McClave, John K DiBaise, Gerard E Mullin, Robert G Martindale
The value of nutrition therapy for the adult hospitalized patient is derived from the outcome benefits achieved by the delivery of early enteral feeding. Nutritional assessment should identify those patients at high nutritional risk, determined by both disease severity and nutritional status. For such patients if they are unable to maintain volitional intake, enteral access should be attained and enteral nutrition (EN) initiated within 24-48 h of admission. Orogastric or nasogastric feeding is most appropriate when starting EN, switching to post-pyloric or deep jejunal feeding only in those patients who are intolerant of gastric feeds or at high risk for aspiration...
March 2016: American Journal of Gastroenterology
Jeong-Yeop Song, Youn Hee Cho, Mi A Kim, Jeong-Ae Kim, Chun Tek Lee, Moon Sung Lee
AIM: To evaluate the full-spectrum endoscopy (FUSE) colonoscopy system as the first report on the utility thereof in a Korean population. METHODS: We explored the efficacy of the FUSE colonoscopy in a retrospective, single-center feasibility study performed between February 1 and July 20, 2015. A total of 262 subjects (age range: 22-80) underwent the FUSE colonoscopy for colorectal cancer screening, polyp surveillance, or diagnostic evaluation. The cecal intubation success rate, the polyp detection rate (PDR), the adenoma detection rate (ADR), and the diverticulum detection rate (DDR), were calculated...
February 28, 2016: World Journal of Gastroenterology: WJG
Jordan Hopchik
Demand for colonoscopy exceeds capacity in the Veterans Health Administration and the private sector. A small number of innovative Veterans Affairs and private sector facilities have created colonoscopy-training fellowships for nurse practitioners and physician assistants (nonphysicians). Additionally, a gastroenterology community of practice might provide knowledge sharing and professional networking opportunities for nonphysician colonoscopists based on assessment of their need for professional activities...
March 1, 2016: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
Jun Heo, Min Kyu Jung, Hyun Seok Lee, Chang Min Cho, Seong Woo Jeon, Sung Kook Kim, Young Hoon Jeon
BACKGROUND/AIMS: The efficacy of bispectral index (BIS) monitoring during colonoscopic sedation is debated. We aimed to determine whether BIS monitoring was useful for propofol dose titration, and to evaluate differences in sedative administration between expert and inexperienced medical personnel during colonoscopy procedures that required moderate sedation. METHODS: Between February 2012 and August 2013, 280 consecutive patients scheduled to undergo a screening colonoscopy participated in this study and were randomly allocated to the expert or inexperienced endoscopist group...
March 2016: Korean Journal of Internal Medicine
Bernard Candas, Gilles Jobin, Catherine Dubé, Mario Tousignant, Anis Ben Abdeljelil, Sonya Grenier, Marie-Pierre Gagnon
BACKGROUND AND AIM: Continuous quality improvement (CQI) programs may result in quality of care and outcome improvement. However, the implementation of such programs has proven to be very challenging. This mixed methods systematic review identifies barriers and facilitators pertaining to the implementation of CQI programs in colonoscopy services and how they relate to endoscopists, nurses, managers, and patients. METHODS: We developed a search strategy adapted to 15 databases...
February 2016: Endoscopy International Open
Sumant Inamdar, Divyesh V Sejpal, Mohammed Ullah, Arvind J Trindade
OBJECTIVES: There has been increasing medical literature showing worse outcomes in patients admitted for medical and surgical conditions on the weekend. This has been termed the weekend effect. Little is known whether this weekend effect occurs for patients with cholangitis who require endoscopic retrograde cholangiopancreatography (ERCP), a procedure that requires many resources from the nursing staff, anesthesia, and the endoscopist. METHODS: Retrospective analysis from the National Inpatient Sample (NIS) database from 2009 through 2012...
March 2016: American Journal of Gastroenterology
Marie Ooi, Andrew Thomson
BACKGROUND AND STUDY AIMS: Endoscopist-Directed Nurse-Administered Propofol Sedation (EDNAPS) has been evaluated in community settings rather than tertiary referral centers. PATIENTS AND METHODS: A hospital-wide prospectively collected database of Medical Emergency Team Calls (METCALL), emergency responses triggered by medically unstable patients, was reviewed. Responses that followed EDNAPS were extracted and compared with a prospectively entered database of all endoscopies performed using EDNAPS over the same period...
October 2015: Endoscopy International Open
Basavana Goudra, Preet Mohinder Singh, Gowri Gouda, Anuradha Borle, Augustus Carlin, Avantika Yadwad
Propofol is a popular anesthetic sedative employed in colonoscopy. It is known to increase the patient satisfaction and improve throughput. However, there are concerns among the clinicians with regard to the depth of sedation, as a deeper degree of sedation is known to increase the incidence of aspiration and other adverse events. So we planned to compare the depth of sedation between propofol and non-propofol based sedation in patients undergoing outpatient colonoscopy, as measured by an electroencephalogram (EEG) based monitor SEDLine monitor (SedlineInc...
October 2016: Journal of Clinical Monitoring and Computing
Yoo Jin Lee, Eun Soo Kim, Kyung Sik Park, Kwang Bum Cho, Byoung Kuk Jang, Woo Jin Chung, Jae Seok Hwang
Although adequate bowel preparation is a prerequisite for colonoscopy, preparation among inpatients is often suboptimal. This study aimed to evaluate the impact of ward nurse education on the quality of bowel preparation of inpatients.A prospective, double-blinded, non-randomized, controlled study was performed. Expert endoscopists provided enhanced education to nurses who belonged to an "educated ward" followed by training that was repeated every week for 1 month. The primary outcome was the quality of the bowel preparation, which was based on the Ottawa Bowel Preparation Scale (OBPS)...
August 2015: Medicine (Baltimore)
David Pace, Mark Borgaonkar, Nikita Hickey, Brad Evans, Muna Lougheed, Curtis Marcoux, Jerry McGrath, Darrell Boone, Meghan O'Leary, Chris Smith
INTRODUCTION: The training of residents in colonoscopy has become an important topic as more attention is being paid to quality outcomes. PURPOSE: To determine whether colonoscopy quality outcomes are adversely affected by allowing residents to perform colonoscopies under supervision. METHODS: This retrospective cohort study was performed on all adults who underwent colonoscopy in the city of St. John's, NL, from January to June 2012 by an endoscopist who trains residents...
April 2016: Surgical Endoscopy
Seungho Lee, Joung-Ho Han, Hee Seung Lee, Ki Bae Kim, In-Kwang Lee, Eun-Jong Cha, Young Duck Shin, Namgyu Park, Seon Mee Park
AIM: To assess the efficacy and safety of a patient-positioning device (EZ-FIX) for endoscopic retrograde cholangiopancreatography (ERCP). METHODS: A total of 105 patients were randomized to the EZ-FIX (n = 53) or non-EZ-FIX (n = 52) group in this prospective study. Midazolam and propofol, titrated to provide an adequate level of sedation during therapeutic ERCP, were administered by trained registered nurses under endoscopist supervision. Primary outcome measures were the total dose of propofol and sedative-related complications, including hypoxia and hypotension...
May 21, 2015: World Journal of Gastroenterology: WJG
Renato Fasoli, Riccardo Pertile, Sonia Seligman, Giovanni de Pretis
The possible involvement, although limited to the diagnostic phase of the procedure, of nonmedical staff (particularly endoscopy nurses) in lower digestive endoscopy has recently been suggested. Computer-based simulators have demonstrated objective evaluation of technical skills in digestive endoscopy. The aim of this study was to evaluate basic colonoscopy skills of endoscopy nurses (naive operators), as compared with junior physician staff and senior endoscopists, through a virtual reality colonoscopy simulator...
May 2015: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
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