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10.1055/a-1196-1711

http://scihub22266oqcxt.onion/10.1055/a-1196-1711
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32617403!7314656!32617403
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suck abstract from ncbi


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pmid32617403      Endosc+Int+Open 2020 ; 8 (7): E985-E989
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  • Covid-19 pandemic impact on colonoscopy service and suggestions for managing recovery #MMPMID32617403
  • Cadoni S; Ishaq S; Hassan C; Bhandari P; Neumann H; Kuwai T; Uedo N; Parra-Blanco A; Mulder CJJ; Binmoeller KF; Leung FW
  • Endosc Int Open 2020[Jul]; 8 (7): E985-E989 PMID32617403show ga
  • Background and aim As the post-peak phase of the epidemic is approaching, there is an urgent need of an action plan to help resume endoscopy activity. To manage the Covid-19 pandemic-imposed backlog of postponed colonoscopy examinations, an efficient approach is needed. The practice of on-demand sedation with benzodiazepines and/or opiates will allow most patients to complete a water-aided examination with minimal or no sedation. Other methods reported to minimize patient discomfort during colonoscopy can be used, in addition to water-aided techniques. Unsedated or minimally sedated patients who do not require recovery or require a shorter one allow rapid turnaround. The practice obviates the need for assistance with deep sedation from anesthesiologists, who may be in short supply. Trainee education in water-aided colonoscopy has been demonstrated to confer benefits. This review provides some insights into the impact of Covid-19 on endoscopy services, challenges ahead, and possible solutions to help recovery of colonoscopy work and training.
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