Scope Procedures Flashcards
what are the risks of bronchoscopy
lung damage/collapse
Infecton
bleeding
Sore nose/throat
Sedation side effects
pneumothorax
what are the risks with gastroscopy
perforation
bleeding
infection
sore throat
dental damage
sedation side effects
what are the risks with colonoscopy and flexible sigmoidoscopy
perforation
bleeding
infection
abdo discomfort
sedation side effects
what are the risks with flexible and rigid cystoscopy
bladder damage
bleeding - haematuria
infection
Dysuria urethral stricture retention may need temporary catheter afterwards anaesthetic side effects (rigid)
what happens before a rigid cystoscopy
6 hours before - clear fluids
2 hours before - NBM
+ normal pre-op assessment including stopping anticoags/platelets
what happens during a rigid cystoscopy
usually have general anaesthetic
water is passed through the scope
what is the advice after a rigid cystoscopy
home after recovered from anaesthetic and have passed urine
no driving, alcohol, operating machinery or signing important docments 24 hours after
keep someone with you for 24 hours following
arrange follow up
what should you do after a flexible cystoscopy
home after passed urine
arrange follow up
what should you do after a flexible sigmoidoscopy
arrange follow up
what should you do after colonoscopy
no driving, alcohol, operating machinery or signing important docments 24 hours after
keep someone with you for 24 hours following
arrange follow up
what should you do after gastroscopy
arrange follow up
- if had throat spray - no eating or drinking 2 hours after a throat is still numb
- if sedation no driving, alcohol, operating machinery or signing important docments 24 hours after
keep someone with you for 24 hours following
what do you do after bronchoscopy
no driving, alcohol, operating machinery or signing important docments 24 hours after
keep someone with you for 24 hours following
arrange follow up
no eating/drinking 2 hours throat is still numb
what happens during bronchoscopy
midazolam sedative - amnesia
lidocaine spray/gel to nose, throat windpipe
what happens in gastroscopy
lidocaine throat spra or sedative
continuous suction
air passed through scope - may have feeling of fullness, belching
what happens in a colonoscopy
midazolam sedative
PR exam prior to scope
air passed through scope - bloating may feel like need to go to toilet
what happens during a flexible sigmoidoscopy
PR prior to scope
no sedation required
what happens with a flexible cystoscopy
anaesthetic jelly
water passed through scope
what happens beofre flexible cystoscopy
no prep
what happens prior to flxible sigmoidoscopy
2 hours before NBM
Phosphate enema 2 hours before can be administered at home
what happens before a colonscopy
2 days before - low fibre diet
1 day before - clear fluids only after light breakfast
2 hours before NBM
Sodium picosulfate sahcet afternoon before and morning of the procedure
stop iron tablets 1 week before and constipating agents 4 days before - e.g. codeine
what happens before a gastroscopy
6 hours before sips of water only
2 hours before NBM
stop antacid 2 weeks before
what happens prior to bronchoscopy
6 hours before clear fluids only
2 hours before NBM
coagulation test
stop antiplatelet 1 week before - unless high risk
stop warfarin 5 days before and give LMWH
stop direct oral anticoagulants 48 hours before