The role of endoscopic retrograde cholangiopancreatography injection training sessions for the gastroenterology nurse and associate

Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates
J S MathewsE L Cattau

Abstract

Pancreatitis is a recognized serious complication of endoscopic retrograde cholangiopancreatography (ERCP). The pressure with which contrast media are injected may be a risk factor for developing pancreatitis. We, therefore, designed a study to determine if there were differences in pressures generated by experienced and inexperienced gastroenterology nurses and how much training would be required to instruct individuals to inject to a specific pressure. With the use of manometrically guided practice sessions, it was determined that inexperienced operators initially inject with significantly high pressure but can learn to inject accurately to a specific pressure as rapidly as experienced operators. Injection training sessions may be beneficial in minimizing the potential risk factor of hydrostatic pressure induced endoscopic retrograde cholangiopancreatography-associated pancreatitis.

Citations

Jun 9, 2009·Gastrointestinal Endoscopy·Evan S DellonNicholas J Shaheen

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