skip to main content
Language:
Search Limited to: Search Limited to: Resource type Show Results with: Show Results with: Search type Index

Safety and Feasibility of Pediatric Gastrointestinal Procedures at an Ambulatory Endoscopy Center: 1046

The American journal of gastroenterology, 2018-10, Vol.113 (Supplement), p.S600-S600 [Peer Reviewed Journal]

Copyright Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins Oct 2018 ;ISSN: 0002-9270 ;EISSN: 1572-0241 ;DOI: 10.14309/00000434-201810001-01046

Full text available

Citations Cited by
  • Title:
    Safety and Feasibility of Pediatric Gastrointestinal Procedures at an Ambulatory Endoscopy Center: 1046
  • Author: Mahajan, Sejal ; Gupta, Nithin ; Sao, Rahul ; Kunde, Sachin ; Sachdeva, Neeraj
  • Subjects: Cost control ; Endoscopy ; Pediatrics
  • Is Part Of: The American journal of gastroenterology, 2018-10, Vol.113 (Supplement), p.S600-S600
  • Description: Introduction: Pediatric endoscopic procedures are traditionally performed in hospital-based endoscopy centers or operating rooms due to safety concerns. However healthcare costs of these pediatric procedures is significantly higher in the hospital setting. Current healthcare environment necessitates safe, effective, and a cost-effective approach for pediatric endoscopic procedures. Majority of children who require gastrointestinal procedures are actually low risk. Similar to adult ambulatory endoscopy centers, we hypothesize that with appropriate screening criteria these procedures can be safely performed in children at an outpatient facility. Methods: We conducted a retrospective study over a three month period to evaluate safety and feasibility of pediatric endoscopic procedures in an ambulatory setting. Sedation was provided by certified registered nurse anesthetist using propofol. We used inclusion and exclusion criteria as defined by our QA committee. In addition to standard adult criteria for endoscopy, pediatric specific criteria included: age >6 years, weight > 22kg, avoidance of documented anaphylactic reaction to soy or egg, and ASA I or II. Pulmonary adverse events were defined as respiratory distress indicated by use of bag and mask ventilation, airway intubation or transfer to hospital due to respiratory distress. Results: Overall 83 pediatric patients underwent procedures at our endoscopy center. Median age was 13 years (range 8-20 years) and 47% were males. No adverse events were seen. Conclusion: Performing pediatric gastrointestinal endoscopic procedures at an ambulatory center is feasible and safe, as long as patients are selected appropriately. Given the significant cost savings involved, performing pediatric procedures at an ambulatory center should be prefered over the hospital setting.MPS
  • Publisher: New York: Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
  • Language: English
  • Identifier: ISSN: 0002-9270
    EISSN: 1572-0241
    DOI: 10.14309/00000434-201810001-01046
  • Source: ProQuest Central
Back to results list
INSPIRE LIBRARY - TON DUC THANG UNIVERSITY (84-028) 37 755 057 Feedback
19 Nguyen Huu Tho St. Dist.7, HCM thuvien@tdtu.edu.vn

Copyright © 2017 INSPIRE LIBRARY - TON DUC THANG UNIVERSITY

Searching Remote Databases, Please Wait