[JEEMA]

Are you also asked to apply pressure on the left lower iliac region during colonoscopy, esp after reaching the sigmoid?

We're usually asked to do it in order to straighten the splenic and hepatic flexure and facilitate easier insertion and to quickly reach the caecum.

It's just too tiring esp with patients having big bellies.

[LibraSun]

It can be exhausting with people with difficult turns or Drs with less skill, FOR SURE! My boss and I even thought up a compression device, but it seems someone else patented our idea in 1997, but didn't do anything with it!! dang! I wonder if anyone has any helpful hints as to making it easy and comfortable for the nurse and the patient.......

[EndoRN]

We use pressure quite often.
I usually have a hand resting on the belly. I take note of wherever the looping seems to be taking place. After the doctor reduces the loop, I put pressure on where it was.
Pressure can be key in some cases. Others....it seems nothing helps.

Amy

[paula77720]

lucky for me, my doctor is a good driver and i only do it when it is really difficult for him to get through. Normally, sigmoid support is always needed or transverse. He said i have a golden hand ... i always press the right area and the scope goes through. Thats nice to know

[altomga]

we do scopes on the floor quite often....I don't work in the GI lab....but I haven't seen it done, but they may do it down the the lab.

[twhatley]

We do have to give abd pressure sometimes, depending on the difficulty of the case. A step stool in every room is a must! The height gives you a much better position. Good luck!

[Kyli]

We often give abdo pressure too. Not always though. Usually just when there is looping etc and also depends on the Dr and each individual patient.
The more experienced you are at endo nursing, the easier it gets to determine where to push!! The sigmoid area is most common (because it's the most twisty bit of the colon!!).
Sometimes people have terribly tortuous bowels and is does get quite tiring!!
I have to say, I'd rather do some pushing than rolling the patient - as some Drs ask us to do!!

[ibnrn]

We do apply (L) abd pressure...mostly for the docs who are less skilled at 'scoping. When the GI doc does his scopes...no problemma! But the surgeons...now they are a different story.

[Lys]

I'm a little confused with this question...I recently had my first sigmoidoscopy done about a month ago, but I was kneeling but bent over onto my stomach on a bed (unsure of position name). In this position, it would likely be pretty difficult for the dr or nurse to have applied pressure to my abdomen...and I would have likely kicked them in pain if they had *lol*

Is this technique used predominantly when clients are anesthetised for the procedure or is a different position used?

Thx

[ibnrn]

Originally Posted by Lys

I'm a little confused with this question...I recently had my first sigmoidoscopy done about a month ago, but I was kneeling but bent over onto my stomach on a bed (unsure of position name). In this position, it would likely be pretty difficult for the dr or nurse to have applied pressure to my abdomen...and I would have likely kicked them in pain if they had *lol*

Is this technique used predominantly when clients are anesthetised for the procedure or is a different position used?

Thx

A sigmoidoscopy is visualization of the sigmoid colon only; in other words, the flexible tube is inserted up to the splenic flexure, or first major turn, in the bowel. At our institution, no sedation is used for this procedure. If you had a full colonoscopy, you would have (should have) been given sedation, to include drugs like Demerol, or Fentanyl, and Versed, for example, and you would have been lying on your left side with your knees drawn up, sort of fetal position, if you will. The assistant sometimes has to put pressure upward on the left side of your abdomen to prevent a loop from forming with the scope.