First Year Fellows Endoscopy Course (Aug 6-7) | 2021-Introduction to Endoscopy

Video Transcription

Video Summary

In this video, Sarah Shanahan from Beth Israel and from Boston gives an introduction to endoscopy. She covers various topics including informed consent, patient preparation, antibiotic use, anticoagulation, sedation, and complications. Shanahan emphasizes the importance of having a conversation with each patient before the procedure and making sure they understand the nature of the procedure, its benefits, risks, alternatives, and limitations. She highlights the need to use layman's terms and hospital interpreters to ensure clear communication. Shanahan discusses the risks associated with endoscopy, such as bleeding and perforation, and advises using witnesses for documenting conversations, especially if there are any issues with the consent process. She also provides guidance on patient preparation, including medication management and cleansing for the procedure. Shanahan talks about the use of antibiotics in endoscopy, noting that antibiotic prophylaxis for endocarditis risk is no longer recommended. She explains that antibiotics may be necessary for certain high-risk procedures to prevent local or bloodstream infections. Regarding anticoagulation, Shanahan explains the assessment of procedure risk and the risk of stopping anticoagulants, providing tables and guidelines for different scenarios. She cautions against prematurely stopping dual antiplatelet therapy as it increases the risk of stent thrombosis. Shanahan discusses sedation and procedural monitoring, emphasizing the importance of preventing complications and early detection. She highlights the need for communication with patients and their families in case of complications. The video concludes with a summary of the main points covered.

Keywords

endoscopy

informed consent

patient preparation

anticoagulation

sedation

complications