Minimizing occupational hazards in endoscopy: personal protective equipment, radiation safety, and ergonomics

Pedrosa, Marcos; Farraye, Francis A.; Shergill, Amandeep K.; Banerjee, Subhas; Desilets, David J.; Diehl, David L.; Kaul, Vivek; Kwon, Richard S.; Mamula, Petar; Rodriguez, Sarah A.; Varadarajulu, Shyam; Song, Louis M. Wong Kee; Tierney, William M.

doi:10.1016/j.gie.2010.01.071

Cited by 108 publications

(77 citation statements)

References 46 publications

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“…21 Survey-based studies highlighting overuse injuries in gastrointestinal endoscopists have estimated a prevalence of musculoskeletal symptoms between 37% and 89%, mostly in the hand-wrist area. To our knowledge, however, limited data exist on the ergonomics of endourologic procedures, specifically flexible ureteroscopy.…”

Section: Discussionmentioning

confidence: 99%

Hand Problems Among Endourologists

Healy

Pak

Cleary

et al. 2011

Journal of Endourology

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Section: Discussionmentioning

confidence: 99%

Hand Problems Among Endourologists

Healy

Pak

Cleary

et al. 2011

Journal of Endourology

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“…Monitor height needs to be adjusted around 15 degrees below the horizontal visual field to decrease the neck strain 30. The optimal monitor distance has been estimated between 52 to 182 cm (20.5 to 63.8 inches) depending somewhat on monitor size 31.…”

Section: Preventionmentioning

confidence: 99%

“…Although sitting is a potential option to reduce strain on the low back, it is not commonly performed (4.2% in one study) 15. Although techniques such as these can help, there are still limited options for reducing forces encountered by the hands and wrists during procedures, and this opens the way for more ergonomically designed endoscopes 30. This is more important for colonoscopy than for upper endoscopy, considering the longer procedural times and the higher forces generated during the procedure including advancement of the scope and torqueing of the shaft.…”

Section: Preventionmentioning

confidence: 99%

Review of Musculoskeletal Injuries and Prevention in the Endoscopy Practitioner

Harvin

2014

Journal of Clinical Gastroenterology

102

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Practitioners of endoscopy often experience musculoskeletal pain and injury (most often in the back, neck, shoulders, hands, wrists, and thumbs) that are associated with the minute and repetitive strain that is placed on these areas during endoscopic procedures. This review of the current documentation of endoscopy-related pain and injuries among practitioners finds that such problems are widespread and specific in kind as well as strongly correlated with high procedure volume and procedure duration. Research on the nature and impact of cumulative trauma and overuse syndromes in other professions such as dentistry, pianists, production labor, and athletics is brought to bear on the work of the endoscopist. A more thorough understanding of the nature and prevalence of work-related pain and injury sustained by endoscopists should inform further development of ergonomic practices and equipment design. This article reviews current recommendations for ergonomic design in the endoscopy procedure space and finds that reported compliance with those recommendations is quite low. Strategies for the management of the risk of musculoskeletal injuries related to the practice of endoscopy include compliance with currently recommended ergonomic practices, education of trainees in ergonomic technique when practicing endoscopy, and research toward the modification and development of more ergonomic endoscopes and procedure spaces.

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“…To limit exposures, staff should continue to follow established guidelines for the use of appropriate personal protective equipment. 21 Vapor-recovery systems and adequate ventilation may also reduce exposure to LCG vapors. Available AERs and associated LCGs produce variable amounts of organic and inorganic waste, and facilities may need to consider local environmental regulations.…”

Section: Safetymentioning

confidence: 99%