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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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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.
During an EGD, the endoscope can be used to:
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Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
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Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
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Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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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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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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A guide on transnasal endoscopy: setting up a pediatric unsedated endoscopy program.

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Unsedated transnasal endoscopy (TNE) offers a safe, cost-effective alternative to traditional endoscopy for children. This guide helps pediatric gastroenterologists implement TNE programs, reducing anesthesia needs and improving patient care.

Keywords:
endoscopy unitpediatric gastroenterology and hepatologypediatricssedation freetransnasal endoscopy

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Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures

Background:

  • Unsedated transnasal endoscopy (TNE) is a growing, efficient, safe, and cost-effective method for evaluating upper gastrointestinal disorders.
  • TNE reduces risks associated with anesthesia, crucial for pediatric patients often requiring sedation.

Purpose of the Study:

  • To address knowledge gaps for pediatric gastroenterologists considering TNE program development.
  • To provide a detailed guide for implementing sedation-free TNE in pediatric patients.

Main Methods:

  • Comprehensive literature review.
  • Data collection from field experts and clinicians on TNE program implementation.
  • Collating data to create a practical guide for program setup.

Main Results:

  • Detailed guidance on TNE unit design, staffing, equipment, and technology.
  • Highlights pediatric-specific considerations: Virtual Reality Systems, child preparation, and topical analgesia.
  • Addresses financial and training aspects for program implementation.

Conclusions:

  • Sedation-free endoscopy is a viable, safe, and cost-effective option for pediatric patients.
  • Implementing unsedated pediatric TNE programs improves patient care and decreases anesthesia reliance.
  • TNE is a valuable addition to pediatric gastroenterology practices.