A survey of the practice of after-hours and emergency endoscopy in Canada

作者：Muthiah Karuppan Chetty; Enns Robert; Armstrong David; Noble Angela; Gray James; Sinclair Paul; Colacino Palma; Singh Harminder^*

来源：Canadian Journal of Gastroenterology, 2012, 26(12): 871-876.

DOI：10.1155/2012/951071

• Emergency care
• Endoscopy
• Staffing
• Standards

OBJECTIVE: To determine staffing and practice patterns for after-hours endoscopy service in Canada %26lt;br%26gt;METHODS: A link to a web-based survey was sent by e-mail to all clinical members of the Canadian Association of Gastroenterology in February 2011. A priori, it was planned to compare variations in practice among gastroenterologists (GIs) performing endoscopy in different regions of Canada, between pediatric and adult GIs, and between university and community hospitals. %26lt;br%26gt;RESULTS: Of 422 potential respondents, 168 (40%) responded. Of the 139 adult GIs, 61% performed after-hours endoscopy in the endoscopy suite where daytime procedures were performed, 62% had a trained endoscopy nurse available for all procedures, 38% had access to propofol sedation, 12% reprocessed the endoscopes themselves or with the help of a resident, 4% had out-of-hospital patients come directly to their endoscopy suite and 53% were highly satisfied. The adult endoscopists practising at community hospitals were more likely to have an anesthetist attend the procedure. Regional differences were noted, with more involvement of anesthetists (13%) and availability of propofol (50%) in Ontario, more frequent reprocessing of endoscopes in the central reprocessing units in British Columbia (78%) and almost universal availability of a trained endoscopy nurse (96%) with concomitant higher endoscopist satisfaction (84% highly satisfied) in Alberta. %26lt;br%26gt;CONCLUSIONS: More than one-third of surveyed endoscopists across the country do not have a trained endoscopy nurse to assist in after-hours endoscopy - the time period when urgent patients often present and typically require therapeutic endoscopic interventions. There are significant regional differences in the practice of after-hours endoscopy in Canada.

• 出版日期2012-12