Tu1328 Use of Colowrap® Abdominal Binder Reduces Cecal Intubation Time During Colonoscopy

Crockett, Seth D.; Spanarkel, Marybeth; Hathorn, James P.; Hathorn, John; Dellon, Evan S.

doi:10.1016/j.gie.2013.03.809

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“…Placed preprocedure, additional pressure can be applied during the procedure. In a pilot study, 45 colonoscopy patients with the ColoWrap were compared with 131 control patients and the need for manual external pressure was significantly reduced (Crockett et al, 2013). However, in a follow-up randomized controlled study of 350 patients there was no difference in manual pressure between the ColoWrap and sham group (Crockett et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Application of a Positioning Wedge During Colonoscopy of Obese Patients to Mitigate Nurse Pain

Fetzer

2020

Workplace Health Saf

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Background: The application of external abdominal pressure by endoscopy nurses has long been recognized to facilitate passage of the endoscope during colonoscopy. Applying sustained abdominal pressure during a colonoscopy for an obese patient is especially challenging and may result in musculoskeletal injury for the endoscopy nurse. Methods: Four experienced endoscopy nurses cared for 100 obese adult patients scheduled for colonoscopy who had a body mass index (BMI) greater than 25 kg/m2. Duration of applied pressure, as well as nurse pain and fatigue were examined after they cared for 50 patients with and 50 patients without a positioning wedge. Findings: No difference in the mean fatigue score between nurses providing standard care versus those using the positing wedge was observed (mean score: 2.6 vs. 2.0, respectively); however, self-reported pain was higher for those providing standard care relative to those using the positioning wedge (mean score: 2.9 vs. 1.3, p = .0143). In 18 patients who required both the wedge and pressure, these nurses still reported lower pain scores relative to nurses who provided care without a wedge ( M = 1.3 vs. 2.9, respectively). Conclusion/Application to practice: A positioning wedge for obese patients undergoing a colonoscopy can reduce the need for external abdominal pressure applied by endoscopy nurses. Occupational health nurses should endorse the use of a gel wedge to promote safe patient handling and reduce the potential for musculoskeletal injury among endoscopy nurses.

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Section: Introductionmentioning

confidence: 99%

Application of a Positioning Wedge During Colonoscopy of Obese Patients to Mitigate Nurse Pain

Fetzer

2020

Workplace Health Saf

View full text Add to dashboard Cite

show abstract

Tu1328 Use of Colowrap® Abdominal Binder Reduces Cecal Intubation Time During Colonoscopy

Cited by 1 publication

References 0 publications

Application of a Positioning Wedge During Colonoscopy of Obese Patients to Mitigate Nurse Pain

Application of a Positioning Wedge During Colonoscopy of Obese Patients to Mitigate Nurse Pain

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