ERCP positioning

[Gas you down]

Hi, Anesthesiologist here. Does supine positioning truly hinder the procedure?
could you keep them supine, perhaps with a bump under the right hip for a right oblique position?
I had a patient aspirate with sedation, so I've switched to GETA for ercp's.

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[Gastrapathy]

Does a random opinion on an internet forum matter more than that of the physician doing the procedure? You get to dictate the anesthetic (you had one complication which may or may not be prevented by intubation since intubation carries its own risk of aspiration but, hey, its your call). Just the same, the ERCPist gets to dictate his or her part of the procedure, including patient position, regardless whether you or I think it makes a difference.

 

[Gas you down]

this is a forum for discussion, thus this was an appropriate question open to anyone. I was looking for answers on how best to position for visualization vs comfort/ease for procedurist.
everyone has an opinion, and I'm willing to at least listen. I spoke with my GI, he is more concerned about speed of case/wake up time etc