By Peter B. Cotton
Crucial new name within the complex Digestive Endoscopy seriesAdvanced Digestive Endoscopy: perform & protection presents a realistic guide on find out how to practice thoughts competently and successfully on the way to maximise worth, and to minimize dangers. basically established, it covers education, endoscopy and imaging gear, an infection regulate, sufferer practise and tracking, issues and the way to prevent and care for them. increasing at the content material of Peter Cotton’s best-selling sensible Gastrointestinal Endoscopy, this instructive quantity comprises info and directions on all features of the perform of endoscopy, and is a perfect better half for either the trainee and the skilled endoscopist.Key positive factors include:Written through the major overseas names in endoscopy textual content has been expertly edited via Peter Cotton right into a succinct and instructive layout offered briefly paragraphs established with headings, subheadings and bullet issues Richly illustrated all through with full-color photos
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Several potential trends can now be anticipated that may influence the size, use, and staffing of our endoscopy units. Many of these trends risk such major change that our current space and capital-heavy investment in existing units will become a liability. Anticipation and planning for how they interact with traditional endoscopy should lessen these risks. qxd 30 22/01/2008 09:35 AM Page 30 CHAPTER 2 Capsule endoscopy Capsule endoscopy is now established in the investigation of the small intestine.
Extended monitoring Capnography Capnography is based on the principle that carbon dioxide absorbs light in the infrared region of the electromagnetic spectrum. Quantification of the absorption leads to the generation of a curve, which represents a real-time display of the patient’s respiratory activity [5,6]. Randomized trials and case series utilizing capnography have found it to be more sensitive than pulse oximetry or visual assessment in the detection of apneic episodes. In a series of 80 colonoscopy patients who were randomized to undergo the procedure with and without supplemental oxygen, extended monitoring with capnography was employed .
Endoscopes incorporate advanced video, computer, material, and engineering technologies [1–4]. The development of modern flexible gastrointestinal endoscopes followed the development of fiber optics and subsequently the chargecoupled device (CCD). Modern endoscopes continue to use fiber optic light guides to transmit light to the endoscope tip. However, fiber-optic image guides have largely been replaced by copper wire that transmits digital information, from a CCD at the endoscope tip to a video processor for display.