First Year Fellows Endoscopy Course (August 2-3) | 2024-1-Intro to Endoscopy

1-Intro to Endoscopy_2024

Pdf Summary

The document provides guidelines for first-year fellows in endoscopy, focusing on key aspects such as informed consent, patient preparation, antibiotics, anticoagulation, sedation, and complications associated with endoscopic procedures. Emphasizing the importance of informed consent, the text stresses disclosure of procedure details, potential risks, benefits, and alternatives, including worst-case scenarios to enhance patient understanding. It recommends using layman's terms, encouraging patient participation, and documenting the process thoroughly. Patient preparation involves guidelines on oral intake, medication continuation, and adequate cleansing to ensure optimal procedure outcomes.<br /><br />Regarding antibiotic prophylaxis, the text advises against routine administration, listing specific scenarios necessitating antibiotics, such as PEG placements or ERCP with incomplete drainage. It discusses the management of antiplatelet medications, advising against discontinuation of aspirin or NSAIDs before procedures and suggesting the adjustment of medication based on bleeding and thromboembolic risks. Sedation guidelines stress procedural monitoring and patient assessment, including risk factors and medication requirements. Tips for sedation preparation and monitoring are provided to ensure patient safety.<br /><br />Complications related to sedation, endoscopic procedures, and general principles are outlined, highlighting the importance of prevention, detection, and prompt treatment. The text stresses effective communication with patients, families, and other providers, advocating for honest and timely updates on patient status. In conclusion, the document underlines the significance of informed consent, patient education, thorough documentation, meticulous patient preparation, and appropriate antibiotic administration for successful endoscopic procedures.

Keywords

endoscopy

first-year fellows

informed consent

patient preparation

antibiotics

anticoagulation

sedation

complications

procedure outcomes

patient safety