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Related Concept Videos

Endotracheal Intubation I: Procedure01:15

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Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
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Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

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Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
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Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
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Endotracheal Tube Extubation01:24

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
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Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine
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Obesity and Cecal Intubation Time.

Deepanshu Jain1, Abhinav Goyal1, Jorge Uribe2

  • 1Department of Internal Medicine, Einstein Medical Center, Philadelphia, PA, USA.

Clinical Endoscopy
|February 13, 2016
PubMed
Summary

Obesity influences colonoscopy success differently in men and women. Higher body mass index (BMI) correlated with longer cecal intubation (CI) times in women, but shorter times in men.

Keywords:
Cecal intubation timeGender identityObesity, Body mass index

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Area of Science:

  • Gastroenterology
  • Clinical Research
  • Medical Informatics

Background:

  • Obesity's impact on colonoscopy outcomes, specifically cecal intubation (CI) rates, remains debated.
  • Conflicting evidence exists regarding the association between obesity and the success of colonoscopy procedures.

Purpose of the Study:

  • To investigate the relationship between body mass index (BMI) and cecal intubation (CI) time during colonoscopy.
  • To clarify the association between obesity and colonoscopy difficulty, controlling for confounding variables.

Main Methods:

  • Retrospective chart review of 926 patients undergoing outpatient colonoscopy.
  • Patients categorized by sex and obesity status (BMI <24.9, 25-29.9, ≥30).
  • Cecal intubation (CI) time analyzed as a measure of colonoscopy difficulty using analysis of variance (ANOVA).

Main Results:

  • Overall mean CI time was 15.7±7.9 minutes.
  • In women, mean CI times across BMI categories I, II, and III were 14.4±6.5, 15.5±8.3, and 16.2±8.1 minutes, respectively (p=0.55).
  • In men, mean CI times across BMI categories I, II, and III were 16.3±8.9, 15.9±8.0, and 15.6±7.2 minutes, respectively (p=0.95).

Conclusions:

  • Body mass index (BMI) showed a positive association with cecal intubation (CI) time in women.
  • A negative association was observed between BMI and CI time in men.
  • Obesity appears to influence colonoscopy procedural time differently based on sex.