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Endoscopic Ultrasound (EUS)
Clinical Procedure
 
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Linear probe with biopsies, duration 20-90min

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Nov 23, 2011
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Radial probe is a shorter duration procedure (15-20mins). No biopsies are taken

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Nov 23, 2011
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If intubating with muscle relaxant, consider using a short acting muscle relaxant (eg suxamethonium) as procedures are occasionally short. Spraying the cords and trachea with local anaesthetic may help improve tube tolerance in the unrelaxed patient.

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Dec 05, 2012
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Use a nasopharyngeal airway connected to ETT connecter ( ie open ETT 1/2 size smaller than selected nasopharyngeal tube) and connect to anaesthetic machine.

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Mar 30, 2013
Is this to administer volatile, oxygen, or to ventilate the patient if required?
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All three! I use this set up sometimes with just o2 and CPAP (ie close APl valve), sometimes with 8% sevo (esp in kids) and if you need to ventilate the pt this can be done by pinching the other nostril shut and closing the mouth.
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If there is tumour around the duodenum, the patient is at risk of gastric outlet obstruction and residual gastric volumes. Discuss the likelihood with endoscopist and if so, consider a rapid sequence-induction

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Oct 05, 2012
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Sedation in lateral position if the patient is at low risk of aspiration

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Oct 12, 2012
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General anesthesia may be easier in adults for linear probe procedures given their longer duration and likelihood of coughing and moving through the procedure.

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Nov 23, 2011
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If biopsies are taken (especially of pancreas), patient may experience postoperative pain. Write up analgesia for recovery.

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Jul 13, 2011
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The endoscope is larger in diameter and stiffer at the end than a normal gastroscope and will be more stimulating at insertion. Additional analgesia will help reduce the response to insertion.

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Nov 21, 2011
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