The effectiveness of a body positioning device for controlling patient movement and additional sedative use during endoscopic retrograde cholangiopancreatography: A retrospective analysis.

• Tác giả: Shiro Hayashi, Haruka Masuda, Kengo Matsumoto, Dai Nakamatsu, Tsutomu Nishida, Masashi Yamamoto
• Ngôn ngữ: eng
• Thông tin xuất bản: Australia : DEN open , 2025
• Bộ sưu tập: NCBI
• ID: 697910

Tóm tắt

 BACKGROUND: Endoscopic retrograde cholangiopancreatography requires precise body movement control for procedural safety and efficiency. Sedatives are commonly used but pose risks, especially in elderly patients. This study evaluated the effectiveness of the Medo V-Fix device in controlling patient movement during endoscopic retrograde cholangiopancreatography. METHODS: Of 1723 endoscopic retrograde cholangiopancreatography procedures performed between January 2021 and March 2024, 1,528 were analyzed after excluding cases with missing data. Patients were divided into two groups, the device group ( RESULTS: Baseline characteristics were similar between the groups. Body movement control was better with the device (good, 65.7%
  poor, 24.0%
  and very poor, 10.3%) than without it (good, 48.1%
  poor, 30.7%
  and very poor, 21.2%
  CONCLUSIONS: The Medo V-Fix device significantly improved body movement control and reduced the need for additional doses of sedatives and manual intervention. Despite a higher incidence of mild hypoxemia, these events were appropriately managed with routine monitoring, indicating that the device increases procedural safety and efficiency.