pre-gastric bypass egds

[Simba1711]

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I tube all my ercps. They take forever and they did them prone at my old job.

 

[DocMcCoy]

I tube all my ercps. They take forever and they did them prone at my old job.

I don’t care how fast they are risk>>>>benefit

 

[deleted641888]

I tube all my ercps. They take forever and they did them prone at my old job.

Never in my life have I thought, “I wished I hadn’t tubed this ERCP.”

 

[amyl]

We tube our ercps. 100%. Not a conversation

 

[pocafx]

Recently met a GI who does his ERCP left lateral flat on X-ray bed. Have sedated them as he works quick enough. Will tube if inpatient and look sick nauseous.

 

[PpfSuxTube]

We tube our ercps. 100%. Not a conversation

Weve never tubed any ercp afaik. All prone in a dingy corner of the hospital remote endo room, no anesthesia machine, no glidescope, tiny room that you can't even easily get a second bed into to flip...

Its wild we get away with it...

 

[Southpaw]

Its wild we get away with it...

you betta knock on something

 

[JoelJoel84]

Had anyone else used the Gastro-LMAs for ERCPs?

We used them in my residency training and they worked really well, supine patient and much safer than GA without an airway; the GI docs loved them as did we, quick 20 min case without need of a tube.

 

[PpfSuxTube]

Had anyone else used the Gastro-LMAs for ERCPs?

We used them in my residency training and they worked really well, supine patient and much safer than GA without an airway; the GI docs loved them as did we, quick 20 min case without need of a tube.

Never heard of it til now. Nice idea.

Also never heard of a 20 min ercp or a supine one unfortunately

 

[GassYous]

Never heard of it til now. Nice idea.

Also never heard of a 20 min ercp or a supine one unfortunately

stent pull

 

[deleted1130227]

Weve never tubed any ercp afaik. All prone in a dingy corner of the hospital remote endo room, no anesthesia machine, no glidescope, tiny room that you can't even easily get a second bed into to flip...

Its wild we get away with it...

Drunk drivers usually get away with it.

 

[Southpaw]

we get away with a lot of things in anesthesia, until we don’t.

 

[jwk]

Weve never tubed any ercp afaik. All prone in a dingy corner of the hospital remote endo room, no anesthesia machine, no glidescope, tiny room that you can't even easily get a second bed into to flip...

Its wild we get away with it...

Yeah, that's an indefensible position y'all put yourselves in. Write the check if something happens.

 

[nimbus]

Also never heard of a 20 min ercp or a supine one unfortunately.

We used to have a gastroenterologist who did all of his ERCPs supine, most under 20min. He is Egyptian and speaks 5 languages including Mandarin. Just an outstanding person. Sadly he no longer comes to our hospital.

 

[deleted1203146]

We used to have a gastroenterologist who did all of his ERCPs supine, most under 20min. He is Egyptian and speaks 5 languages including Mandarin. Just an outstanding person. Sadly he no longer comes to our hospital.

if they c-spine issues, acute ones at least you should ask to do the case supine

 

[Simba1711]

We had an old Gi doctor who came out of retirement who did his ercps prone and it took 3 hours. I told my colleague he takes forever and it’s not worth the risk. He still decided to do sedation. Why? Smh

 

[cchoukal]

View attachment 367772

View attachment 367773

A modified nasal trumpet with an ETT attachment on it,
This works quite well as an alternative, and you can set some CPAP on it
Did it a few times including a BMI 60+ patient for a TEE..
(not my pics)

I love this move all day for morbidly obese EGD and TEE.