Navigating gastrointestinal endoscopy challenges in the intensive care unit: A mini review

Area of Science:

• Critical care medicine
• Gastroenterology
• Endoscopy

Background:

• Critically ill patients in the intensive care unit (ICU) may require urgent gastrointestinal (GI) procedures.
• Bedside endoscopy offers a diagnostic and therapeutic option for GI emergencies within the ICU setting.

Purpose of the Study:

• This review examines the indications, risks, and outcomes of performing bedside endoscopy in the ICU.
• It highlights key considerations for managing critically ill patients undergoing this procedure.

Main Methods:

• The review synthesizes current literature on bedside endoscopy in the ICU.
• It focuses on specific indications such as GI bleeding, volvulus, and bowel obstruction.
• Anesthesia considerations for non-operating room anesthesia are also discussed.

Main Results:

• Key risks include hemodynamic instability, coagulopathy, and challenges with mucosal visualization.
• Successful outcomes depend on meticulous patient selection and procedural optimization.
• Multidisciplinary collaboration is essential for mitigating risks.

Conclusions:

• Bedside endoscopy is a valuable tool for managing GI emergencies in the ICU.
• Careful pre-procedural assessment and management strategies are vital for patient safety and procedural success.
• Optimizing patient selection and employing a multidisciplinary approach enhance the benefits of ICU endoscopy.