First Year Fellows Endoscopy Course (Aug 1-2) | 2021-Introduction to Endoscopy

Video Transcription

Video Summary

In this video, Sarah Shanahan from Beth Israel and Boston discusses an introduction to endoscopy. She covers several topics including informed consent, patient preparation, antibiotic use, anticoagulation, sedation, and complications. Informed consent is not just a form, but a conversation with the patient where the nature of the procedure, benefits, risks, alternatives, and limitations are discussed. For patient preparation, patients are typically asked to remain NPO for six hours for solids and two hours for clear liquids. However, patient-specific factors such as delayed gastric emptying may require alterations to the preparation. Antibiotic prophylaxis for endocarditis is no longer recommended for routine GI procedures due to the low risk of transient bacteremia. Anticoagulation should be adjusted based on the risk of the procedure and the risk of stopping the medication. Low-risk procedures generally do not require adjustment, while high-risk procedures may require discontinuation or bridging with heparin. Sedation and procedural monitoring are important to prevent complications. It is crucial to assess the patient before the procedure, ensure appropriate monitoring, and be prepared for any potential complications. Overall, clear communication, individualized care, and careful consideration are key in endoscopy procedures. No credits are mentioned in the transcript.

Keywords

endoscopy

informed consent

patient preparation

antibiotic use

anticoagulation

sedation