ASGE Postgraduate Course at ACG: Evidence-based Updates for the Practicing Gastroenterologist | October 2021-Evidence-based Approach to Peri-procedural Anticoagulation Management

Video Transcription

Video Summary

Dr. Amandeep Shergill, a professor of medicine in the Division of Gastroenterology at UCSF, gave a presentation on the importance of ergonomics during endoscopy. She highlighted the high prevalence of injury among endoscopists and the risky nature of endoscopy. Ergonomics is the study of how work affects people physically and cognitively, and it aims to fit a job to the worker rather than forcing the worker to fit into a job. Dr. Shergill discussed the relationship between physical work factors, such as non-neutral posture, high force, and repetition, and the development of work-related musculoskeletal disorders. She also presented findings from a study that measured forearm muscle load and thumb pinch force during colonoscopy, showing that these loads exceeded threshold levels for high risk exposures. Dr. Shergill stressed the importance of implementing controls to reduce the risk of injury, such as eliminating or substituting risks, using engineering controls, implementing administrative controls, and using personal protective equipment as a last resort. She also provided recommendations for improving ergonomics during endoscopy, including adjusting the monitor and bed height, considering tools that improve operator-tool interaction, and implementing regular maintenance for endoscopes. Dr. Shergill emphasized the need to prioritize ergonomics and take breaks during procedures to reduce the risk of injury and improve overall well-being. In addition, she discussed the importance of exercise and strength training to counteract the muscle loss and weakness that come with aging. Finally, she provided guidance on managing anticoagulation during endoscopy procedures, including stopping and resuming antithrombotic medications based on the type of procedure and the patient's specific conditions. Overall, Dr. Shergill's presentation highlighted the importance of ergonomics and injury prevention in the field of endoscopy.

Asset Subtitle

Olaya Isabella Brewer Gutierrez, MBBS

Keywords

Dr. Amandeep Shergill

medicine

Division of Gastroenterology

UCSF

ergonomics

endoscopy

work-related musculoskeletal disorders

injury prevention