Harbor:ED Endoscopy: Difference between revisions
(Created page with "* Consult GI ** Emergent - MICU or OR ** Urgent - stabilize ** If the patient is intubated, you do not need to perform "procedural sedation" as the RN can titrate medications to ensure the patient is adequately sedated for the ventilator") |
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* Consult GI | * Consult GI | ||
** Emergent | ** '''Emergent''' EGDs should occur either in the '''ICU or be redlined to the OR''' (GI will communicate with trauma/anesthesia to establish emergent case priority) | ||
** Urgent | *** Consider Blakemore/Minnesota tube placement | ||
** If | *** ICU team will perform airway management during the daytime; after hours, the patient can either be intubated in the ED or by the airway team in the ICU | ||
** '''Urgent''' EGDs should go to the '''endoscopy suite''' or be admitted and scheduled next day by GI (target endoscopy time <8 hours from presentation) | |||
*** Stable GI Bleeders – transfuse as needed, admit to medicine; GI will arrange for endoscopy suite as the preferred procedural location | |||
*** Foreign body retrieval – to occur in the endoscopy suite; if after hours and anesthesia is unavailable, admit to medicine for GI to schedule in the endoscopy suite; if emergent (magnets, button batteries, etc), these should be redlined to the OR | |||
** Intubation vs procedural sedation | |||
*** If a patient is intubated for a procedure, you are no longer providing procedural sedation and the bedside nurse can titrate medications to ensure the patient is adequately sedated | |||
Latest revision as of 22:21, 3 April 2026
- Consult GI
- Emergent EGDs should occur either in the ICU or be redlined to the OR (GI will communicate with trauma/anesthesia to establish emergent case priority)
- Consider Blakemore/Minnesota tube placement
- ICU team will perform airway management during the daytime; after hours, the patient can either be intubated in the ED or by the airway team in the ICU
- Emergent EGDs should occur either in the ICU or be redlined to the OR (GI will communicate with trauma/anesthesia to establish emergent case priority)
- Urgent EGDs should go to the endoscopy suite or be admitted and scheduled next day by GI (target endoscopy time <8 hours from presentation)
- Stable GI Bleeders – transfuse as needed, admit to medicine; GI will arrange for endoscopy suite as the preferred procedural location
- Foreign body retrieval – to occur in the endoscopy suite; if after hours and anesthesia is unavailable, admit to medicine for GI to schedule in the endoscopy suite; if emergent (magnets, button batteries, etc), these should be redlined to the OR
- Urgent EGDs should go to the endoscopy suite or be admitted and scheduled next day by GI (target endoscopy time <8 hours from presentation)
- Intubation vs procedural sedation
- If a patient is intubated for a procedure, you are no longer providing procedural sedation and the bedside nurse can titrate medications to ensure the patient is adequately sedated
- Intubation vs procedural sedation