Covid-19 pandemic impact on colonoscopy service and suggestions for managing recovery
Endosc Int Open 2020; 08: E985-E989 DOI: 10.1055/a-1196-1711
Background and aim As the post-peak phase of the epidemic is approaching, there is an urgent need of an action plan to help resume endoscopy activity. To manage the Covid-19 pandemic-imposed backlog of postponed colonoscopy examinations, an efficient approach is needed. The practice of on-demand sedation with benzodiazepines and/or opiates will allow most patients to complete a water-aided examination with minimal or no sedation. Other methods reported to minimize patient discomfort during colonoscopy can be used, in addition to water-aided techniques. Unsedated or minimally sedated patients who do not require recovery or require a shorter one allow rapid turnaround. The practice obviates the need for assistance with deep sedation from anesthesiologists, who may be in short supply. Trainee education in water-aided colonoscopy has been demonstrated to confer benefits. This review provides some insights into the impact of Covid-19 on endoscopy services, challenges ahead, and possible solutions to help recovery of colonoscopy work and training. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | open access Full text
Source: Endoscopy International Open - Category: Gastroenterology Authors: Cadoni, Sergio Ishaq, Sauid Hassan, Cesare Bhandari, Pradeep Neumann, Helmut Kuwai, Toshio Uedo, Noriya Parra-Blanco, Adolfo Mulder, Chris J.J. Binmoeller, Kenneth F. Leung, Felix W. Tags: Review Source Type: research
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