Scope Procedures

Question 1

what are the risks of bronchoscopy

Answer 1

lung damage/collapse
Infecton
bleeding

Sore nose/throat
Sedation side effects
pneumothorax

Question 2

what are the risks with gastroscopy

Answer 2

perforation
bleeding
infection

sore throat
dental damage
sedation side effects

Question 3

what are the risks with colonoscopy and flexible sigmoidoscopy

Answer 3

perforation
bleeding
infection

abdo discomfort
sedation side effects

Question 4

what are the risks with flexible and rigid cystoscopy

Answer 4

bladder damage
bleeding - haematuria
infection

Dysuria
urethral stricture 
retention 
may need temporary catheter afterwards 
anaesthetic side effects (rigid)

Question 5

what happens before a rigid cystoscopy

Answer 5

6 hours before - clear fluids
2 hours before - NBM

+ normal pre-op assessment including stopping anticoags/platelets

Question 6

what happens during a rigid cystoscopy

Answer 6

usually have general anaesthetic

water is passed through the scope

Question 7

what is the advice after a rigid cystoscopy

Answer 7

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

Question 8

what should you do after a flexible cystoscopy

Answer 8

home after passed urine

arrange follow up

Question 9

what should you do after a flexible sigmoidoscopy

Answer 9

arrange follow up

Question 10

what should you do after colonoscopy

Answer 10

no driving, alcohol, operating machinery or signing important docments 24 hours after
keep someone with you for 24 hours following
arrange follow up

Question 11

what should you do after gastroscopy

Answer 11

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

Question 12

what do you do after bronchoscopy

Answer 12

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

Question 13

what happens during bronchoscopy

Answer 13

midazolam sedative - amnesia

lidocaine spray/gel to nose, throat windpipe

Question 14

what happens in gastroscopy

Answer 14

lidocaine throat spra or sedative
continuous suction
air passed through scope - may have feeling of fullness, belching

Question 15

what happens in a colonoscopy

Answer 15

midazolam sedative
PR exam prior to scope
air passed through scope - bloating may feel like need to go to toilet

Question 16

what happens during a flexible sigmoidoscopy

Answer 16

PR prior to scope

no sedation required

Question 17

what happens with a flexible cystoscopy

Answer 17

anaesthetic jelly

water passed through scope

Question 18

what happens beofre flexible cystoscopy

Answer 18

no prep

Question 19

what happens prior to flxible sigmoidoscopy

Answer 19

2 hours before NBM

Phosphate enema 2 hours before can be administered at home

Question 20

what happens before a colonscopy

Answer 20

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

Question 21

what happens before a gastroscopy

Answer 21

6 hours before sips of water only
2 hours before NBM

stop antacid 2 weeks before

Question 22

what happens prior to bronchoscopy

Answer 22

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