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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Patient Positioning Guidelines for Gastrointestinal Endoscopic Procedures.

Vera Meeusen1,2,3,4,5,6,7, Nick Kim1,2,3,4,5,6,7, Jerome Elson1,2,3,4,5,6,7

  • 1Vera Meeusen, PhD, MA, RN, FACPAN, AFACHSM, is Clinical Nurse Consultant, Endoscopy Unit, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.

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Summary

Patient positioning guidelines for surgical procedures can be adapted for gastrointestinal endoscopy. This study found that existing surgical guidelines are largely suitable for endoscopic settings, ensuring safety and efficiency.

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Area of Science:

  • Gastroenterology
  • Surgical Patient Care
  • Medical Procedure Safety

Background:

  • Patient positioning in gastrointestinal endoscopy lacks standardized guidelines, unlike surgical procedures.
  • Prolonged endoscopic interventions and increased use of general anesthesia necessitate formal positioning protocols.

Purpose of the Study:

  • To evaluate the applicability of surgical patient positioning guidelines to gastrointestinal endoscopic procedures.
  • To assess the impact of adapted guidelines on patient safety and procedure duration.

Main Methods:

  • An observational feasibility study involving volunteers with varying body mass index (BMI).
  • Volunteers were positioned in supine, lateral, and prone positions on operating tables and endoscopy stretchers.
  • Comfort levels and adherence to pressure/nerve injury prevention were assessed.

Main Results:

  • Surgical patient positioning guidelines were largely replicable for gastrointestinal endoscopy.
  • Minor adjustments were needed for arm and head positioning, particularly in lateral and prone positions, to optimize oral access.
  • Adherence to pressure and nerve injury prevention guidelines was achieved.

Conclusions:

  • Existing surgical patient positioning guidelines are feasible for gastrointestinal endoscopy with minor modifications.
  • Development of specific endoscopic patient positioning guidelines is recommended.
  • Consideration should be given to reviewing the "swimmer's" position and integrating guidelines into national standards and nursing curricula.