A Practical 5-Step Approach to Nausea and Vomiting

Tome, June; Kamboj, Amrit K.; Sweetser, Seth

doi:10.1016/j.mayocp.2021.10.030

Cited by 7 publications

(11 citation statements)

References 25 publications

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“…Once the decision is made to proceed with an endoscopy procedure, a team approach to perform the procedure in ‘greener’ fashion would be useful. This could involve use of minimal devices, optimum usage of biopsy specimens, innovative technologies such as artificial intelligence (AI) to guide the endoscopist to target the high yield areas, use of a single device to perform multiple interventions (eg, multiple polyps removal with single snare instead of multiple snares), use of biomarkers (such as antibody testing in coeliac disease rather than duodenal biopsies in clinical situation permits) and use of advanced imaging for detecting precancerous lesions 43 44. Furthermore, it can augment discarding pathological specimens which of clinical value.…”

Section: Discussionmentioning

confidence: 99%

Production and possible reduction of greenhouse gases produced during GI endoscopy activity: a systematic review of available literature

Perisetti

Desai

Bourke

et al. 2022

Gut

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Background and aimsGreenhouse gases (GHGs) that trap heat in the atmosphere are composed of carbon dioxide (CO2), methane, nitrous oxide and fluorinated gases (synthetic hydrofluorocarbons, perfluorocarbons and nitrogen trifluoride). In the USA, the health sector accounts for 8.5% of total GHG emissions. The primary objective of this systematic review was to critically analyse the carbon emissions data from GI endoscopic activity.DesignThe GI endoscopy carbon cycle was evaluated at preprocedural, intraprocedural and postprocedural levels. We performed a systematic literature search of articles published on these issues until 30 June 2022 and discussed these available data on endoscopy unit GHG carbon cycle, barriers to reduce GHG emissions and potential solutions. The inclusion criteria were any full-text articles (observational, clinical trials, brief communications, case series and editorials) reporting waste generation from GI endoscopy. Abstracts, news articles and conference proceedings were excluded.ResultsOur search yielded 393 records in PubMed, 1708 in Embase and 24 in Google Scholar. After application of inclusion and exclusion factors, we focused on 9 fulllength articles in detail, only 3 of them were cross-sectional studies (all from the USA), the others reviews or position statements. Therefore, the quality of the studies could not be assessed due to heterogeneity in definitions and amount of emissions.ConclusionsRecognition of carbon emissions generated by GI endoscopy activity is critical. Although multiple limitations exists for quantification of these emission, there is an urgent need for collecting proper data as well as examining novel methods for reduction of these emissions for a sustainable endoscopic practices in the future.

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Section: Discussionmentioning

confidence: 99%

Production and possible reduction of greenhouse gases produced during GI endoscopy activity: a systematic review of available literature

Perisetti

Desai

Bourke

et al. 2022

Gut

View full text Add to dashboard Cite

show abstract

“…A neurologic exam is indicated for patients with a history of cancer, especially evaluating for signs of increased intracranial pressure or central nervous system abnormalities. 19 (See Case study and Concept map of N/V in cancer survivors. )…”

Section: Case Studymentioning

confidence: 99%

“…The first step in the management of N/V in cancer survivors should be directed at an identified specific cause. Suspected offending medications should be evaluated for potential discontinuation or rotation to an alternative that is less likely to cause N/V 19. Correction of suspected etiologies when possible is another important initial action.…”

Section: Management Of Cinvmentioning

confidence: 99%

“…A focused physical exam should assess for signs of dehydration, including evaluation of skin turgor, mucous membranes, and orthostatic vital signs 19,20. Signs of dehydration in older adult patients may also include upper body muscle weakness, confusion, and speech difficulty 19,20.…”

Section: Assessmentmentioning

confidence: 99%

“…A focused physical exam should assess for signs of dehydration, including evaluation of skin turgor, mucous membranes, and orthostatic vital signs. 19,20 Signs of dehydration in older adult patients may also include upper body muscle weakness, confusion, and speech diffi culty. 19,20 A formal clinical dehydration scale may be used; however, there are some limitations in the physical exam component compared with lab testing.…”

Section: ■ Assessmentmentioning

confidence: 99%

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