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Endoscopic Procedures II: Colonoscopy01:25

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Colonoscopy Comfort: An Evidence-Based Practice Project.

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Summary

Switching to carbon dioxide insufflation for colonoscopies significantly reduces patient discomfort and flatus. This evidence-based practice change led to quicker patient recovery and discharge, improving the overall colonoscopy experience.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Evidence-Based Practice

Background:

  • Patient comfort and reduced post-procedure symptoms are key priorities for colonoscopy.
  • Traditional air insufflation can lead to patient discomfort and prolonged recovery.
  • Emerging evidence suggests carbon dioxide as a superior alternative for bowel insufflation.

Purpose of the Study:

  • To implement and evaluate the use of carbon dioxide insufflation during colonoscopy.
  • To assess the impact of carbon dioxide on patient postoperative discomfort and flatus.
  • To improve patient experience and facilitate timely discharge after colonoscopy.

Main Methods:

  • An evidence-based practice project was initiated in a community hospital's surgical department.
  • Physician champions and staff engagement facilitated the adoption of carbon dioxide insufflation.
  • Outcomes were compared to historical data using air insufflation.

Main Results:

  • Patients undergoing colonoscopy with carbon dioxide insufflation reported decreased postoperative discomfort.
  • A significant reduction in post-procedure flatus was observed with carbon dioxide use.
  • Expedited patient discharge was noted, correlating with improved comfort levels.

Conclusions:

  • Carbon dioxide insufflation is an effective method for reducing patient discomfort and flatus after colonoscopy.
  • The successful implementation demonstrates the value of evidence-based practice changes in surgical settings.
  • This practice change enhances patient satisfaction and optimizes hospital resource utilization.