Clinical Gastrointestinal Endoscopy by Gregory G. Ginsberg
By Gregory G. Ginsberg
Clinical Gastrointestinal Endoscopy, second version, via Drs. Gregory G. Ginsberg, Michael L. Kochman, Ian D. Norton, and Christopher J. Gostout, is helping you grasp the newest endoscopic strategies and attain optimum results. See easy methods to practice key nuances with procedural movies at www.expertconsult.com as well as 1,000 photos, upgraded endoscopic photos, and anatomical drawings either in print and on-line. Written via a few of modern so much prestigious experts and with many new and completely up to date chapters, this source equips you to diagnose and deal with the complete variety of GI problems with state of the art assurance of bariatric surgical procedure, healing EUS, device-assisted enteroscopy, image-guided treatment, intramural endotherapy, and masses extra.
- Get entire info on a large breadth of themes together with anatomy, pathophysiology, and healing administration recommendations as well as the newest GI systems and technologies.
- Advance your wisdom at the speedily evolving country of medical gastrointestinal endoscopy with specialist multimedia suggestions from a few of present day such a lot prestigious specialists.
- Master new systems with updates at the endoscopic administration of bariatric surgical procedure; EUS as a device to direct endoscopic remedies; device-assisted enteroscopy for deep exploration of the small gut; image-guided treatment to assist observe melanoma prior; intramural endotherapy together with the hot POEM process; and lots more and plenty more.
Keep present with either new and rising applied sciences together with the administration of higher gastrointestinal familial adenomatous polyposis syndrome and ampullary tumors; post-bariatric endoscopy and endoscopic treatment; endoluminal bariatric recommendations, and intramural/transmural endoscopy.
- See tips on how to practice key techniques step-by-step with endoscopic movies at www.expertconsult.com, and entry the total textual content, online-only references, and all of the illustrations.
- View innovations extra sincerely with upgraded endoscopic photographs and step by step illustrations in such a lot chapters.
The finished and multimedia source for staying modern with the newest know-how and strategies in GI endoscopy
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Additional info for Clinical Gastrointestinal Endoscopy
8. 34 Utility Module Efficient equipment turnover time can be achieved by having appropriate equipment for rapid cleaning and high-level disinfection. 32 Instrument cleaning and high-level disinfection can be accomplished by strategically placing the cleaning area between two procedure rooms or having an efficient large cleaning area within a short distance of several procedure rooms. Adequate numbers of endoscopes stored properly and reprocessed efficiently ensure that the most expensive cost elements of the endoscopy facility—the physicians and nursing staff—are not kept waiting for equipment.
Toilets Fig. , Rockford, Illinois. (Photograph by David Fig. , Rockford, Illinois. ) Section I—Equipment and General Principles of Endoscopy 21 Patient 1 Turnover 3 patients in facility at once Patient 2 Turnover Prep: 30 min Patient 3 Surgery: 30 min Turnover Recovery: 40 min Patient 4 Total: 100 min Turnover Turnover: 10 min Patient 5 Turnover Facility load = Patient 6 13 Patients/day Turnover X 5 days a week Patient 7 X 48 weeks a year Turnover X 70% utilization = Patient 8 2,184 cases a year Turnover 7:00am 8:00am 9:00am 10:00am 11:00am 12:00pm 1:00pm 2:00pm 3:00pm 4:00pm Time Preparation Surgery Recovery Turnover Fig.
There must be locked cabinets for storage of drugs. Biohazardous waste and gases such as oxygen must also be stored. An alternative power source, such as a battery backup system or generator, is necessary to ensure uninterrupted power. Staff Dressing Module Requirements for dressing room spaces are different in regulated and unregulated endoscopy facility environments. Rules for the ASC or hospital may be quite different from the office. It is wise to know the regulations from the state department of health and from certification agencies.