Ergonomics in the Unit: Modeling the Environment Around the Endoscopist

Lipowska, Anna M.; Shergill, Amandeep K.

doi:10.1016/j.tige.2020.12.004

Cited by 6 publications

(4 citation statements)

References 48 publications

(48 reference statements)

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“…Recently, awareness of MSIs among gastrointestinal endoscopists has increased in response to their impact on clinicians and subsequent effects on resources, cost, and quality of the health care system 5 7 9 . In this study, 53 % of the interviewed endoscopists had experienced at least one work-related MSI, in line with previous publications reporting an occurrence between 37 % and 89 % 8 9 10 11 12 14 15 17 18 19 20 .…”

Section: Discussionmentioning

confidence: 99%

“…There was, however, a non-significant trend indicating that endoscopists adjusting the position of the equipment in the OR had fewer MSIs. Therefore, as previously recommended 5 9 19 , an “ergonomic time-out” is suggested to prepare the OR and to ensure the correct equipment positioning. Surprisingly, despite such practice could be considered “common sense,” only 74 % and 83 % of the clinicians reported adjusting the height of the monitor and the position of the pedals, respectively, 19 % use a floor mat, and 9 % adjusted the height of the bed/cart.…”

Section: Discussionmentioning

confidence: 99%

“…The shape and size of modern gastrointestinal endoscopes do not differ significantly from those designed decades ago [3,4]. Despite the technological evolution of medical devices and the increased awareness on safety in the working place, endoscopes are still designed to be "one-size-fits-all" and based on anthropometrical data covering only a part of the user population, i. e., excluding most female users [5]. As a result, the clinicians work with a tool that may not allow them to perform Gastrointestinal endoscopy and work-related injuries: an international survey to the best of their capabilities, needing to adapt the position/ movements to each endoscope [6], which on the long term may result in work-related musculoskeletal injuries (MSIs).…”

Section: Introductionmentioning

confidence: 99%

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Gastrointestinal endoscopy and work-related injuries: an international survey

Bessone

Adamsen

2022

Endosc Int Open

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Background and study aims Recently, the awareness of work-related musculoskeletal injuries (MSIs) among gastrointestinal endoscopists has increased because of their effect on the private and work life of clinicians as well as on the health care system. The high injury incidence (reported to range from 37 % to 89 %) has been correlated with the intensive muscular demand required during a procedure. Patients and methods An online survey with 32 questions was conducted globally. Clinically active endoscopists (doctors and nurses) participated anonymously and voluntarily. The questionnaire included questions about endoscopist anthropometrics, experience of MSI, treatment, and preventive measures such as ergonomic training. Descriptive statistics were used to analyse the data. Results Of 204 clinicians (78 % males; 81 % > 35 years of age), 107 (53 %) stated to have experienced a work-related MSI. The most frequent locations were in the neck (n = 49), shoulder and thumb (n = 39, both). Female clinicians resulted to be significantly more prone to develop MSI. In addition, endoscopists who performed more than 15 hours of endoscopy or more than 15 procedures per week reported a significantly higher rate of MSI. Conclusions The high frequency of MSIs among gastrointestinal endoscopists highlights the importance of implementing ergonomic training. Including simple precautions before and during endoscopy may reduce the risk of developing an injury.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Gastrointestinal endoscopy and work-related injuries: an international survey

Bessone

Adamsen

2022

Endosc Int Open

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“…In a recent case series, the contrast enhanced EUS has shown to be effective and safe in injecting glue and coils by targeting the perforating feeders in gastric or ectopic varices. 48…”

Section: Eus Guided Proceduresmentioning

confidence: 99%

Management of Refractory Variceal Bleed in Cirrhosis

Rodge

Goenka

2022

Journal of Clinical and Experimental Hepatology

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