Adaptation of the prone position during ercp. Take care of the patients by improving their comfort

 

Aims The purpose is to evaluate whether a prone position adapted to the needs of endoscopic procedures can guarantee a correct and easy execution of the procedure, maintaining high levels of patient comfort [1] [2] [3] [4].

Methods A group of 40 people was tested before in the traditional surgical prone position (as describe in literature), and then in the adapted prone position, recording their different level of comfort using a scale from 0 (worst level of comfort) to 10 (best level of comfort).

Adapted prone position: Head is turned to allow the introduction of the endoscope, supported by “donut” gel headrest. To avoid abdominal compression a roll or wedge is placed on the right side of the chest (from the armpit to the hip bone). Lower leg is supported by a roll and knees are flexed. The left armed should be placed like “super man” surgical position, but the right arm is resting on the chest support. All the body is positioned on a gel mat, but every pressure point (knees, ankles, elbow) could be protect with further anti-decubitus devices.

Results 30 people described the adapted position as more comfortable than traditional one. 5 people desbcribed it as comfortable as the traditional one. Just 5 people didn’t appreciate adapted position.

Conclusions From the results obtained, we consider necessary to proceed with the case control study, evaluating not only the level of comfort but also clinical parameters (ventilatory parameters in particular)

Publication History

Article published online:
14 April 2023

© 2023. European Society of Gastrointestinal Endoscopy. All rights reserved.

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