The role of nurse anesthetists in caring for patients undergoing colonoscopy at Ramathibodi Hospital
Article Sidebar
Main Article Content
Abstract
The cancer registry of Thailand for the year 2022 reported that colorectal cancer is among the top five most common cancers among Thais, with an incidence rate that continues to rise annually. One of the causes of the disease stems from lifestyle behaviors that increase the risk of its occurrence, particularly dietary habits. This article aims to highlight the critical role of nurse anesthetists in the care of patients undergoing colonoscopy, particularly in the appropriate management of anesthesia, continuous monitoring of vital signs throughout the procedure, and effective response to potential complications, such as hypotension. Skilled nurse anesthetists play a key role in ensuring the smooth and safe conduct of colonoscopies by meticulously managing medication and closely monitoring patients. Furthermore, their expertise enhances the overall quality of care, reduces the risk of complications, and improves patient satisfaction, contributing positively to both treatment outcomes and patient recovery.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
References
Thai PBS. The Department of Medical Services reveals that 15,000 people are diagnosed with "colorectal cancer" each year. [Internet] 2023. [cited 2024 Aug 25]. Available from: https://www.thaipbs.or.th/ news/content/325714
Ramathibodi Hospital Cancer Center. Ramathibodi Cancer Registry. [Internet] 2024. [cited 2024 Nov 23]. Available from: https://www.rama.mahidol. ac.th/cancer_center/th/cancerreport
Thai Association of Gastroenterology. Colorectal cancer screening. [Internet] 2022. [cited 2024 Nov 23]. Available from: https://www.gastrothai. net/th/ knowledge-detail.php?content_id =348.
Sirisatjawat W. Complications following ambulatory colonoscopy under anesthesia in colorectal cancer screening program at Rattanaburi Hospital. Udonthani Hosp Med J. 2023;31(1):18-23.
Doubeni CA, Corley DA, Quinn VP, Jensen CD, Zauber AG, Goodman M, et al. Effectiveness of screening colonoscopy in reducing the risk of death from right and left colon cancer: a large community-based study. Gut. 2018;67(2):291-298. Available from: https://pubmed.ncbi. nlm.nih.gov/27733426/.
Ramathibodi Hospital Cancer Center. Colorectal cancer screening. [Internet] 2023. [cited 2024 Aug 25]. Available from: https://www.rama.mahidol. ac.th/cancer_center/th/colorectal.
Royal College of Anesthesiologists of Thailand. Preoperative or pre-procedural fasting guidelines in patients undergoing elective surgery and procedures. [Internet] 2021. [cited 2024 Nov 23]. Available from: https://www.rcat.org/_files/ugd/ 82246c_9d2c46a24c854bcd9daaecd92325ef39.pdf.
Duangrat T, Rattanchueak T, Visanuyothin T, Phatthabandikorn W, Nimanwutthipong T. Ministry of Public Health. Safety in One Day Surgery: ODS. [Internet] 2018. [cited 2024 Nov 23]. Available from: http://training.dms.moph.go.th/rtdc//storage/app/uploads/public/5d2/541/b42/5d2541b425d93126523781.pdf.
Cukierman DS, Paredes-Flores M, Guerra-Londono JJ, Carlson R, Hagan K, Ghebremichael S, et al. Corrigendum to "Nasal continuous positive pressure versus simple face mask oxygenation for adult obese and obstructive sleep apnea patients undergoing colonoscopy under propofol-based general anesthesia without tracheal intubation: A randomized controlled trial. J Clin Anesth. 2024 Oct:97:111346. Available from: https:// pubmed. ncbi.nlm.nih.gov/37989650/.
American Society of Anesthesiologists. ASA physical status classification system [Internet]2020. [cited 2024 Nov 23]. Available from: https://www.asahq.org/ standards- and-practice-parameters/ statement-on-asa-physical-status-classification-system
Amornyotin S. Sedation and monitoring for gastrointestinal endoscopy. World J Gastrointest Endosc. 2013 Feb 16;5(2): 47-55. Available from: https://pmc. ncbi. nlm.nih.gov/articles/PMC3574612/
Szeligowska J, Przybyłkowski A, Szymańska M, Niewiński G. Safety of propofol-based anesthesia for colonoscopy in older patients. Advances in Gerontology. 2019;32(5):843-848. Available from: https://pubmed.ncbi.nlm.nih.gov/32145179/.
Storm Anesthesia. Lateral Decubitus Positioning. [Internet]2024. [cited 2024 Aug 25]. Available from: https:// stormanesthesia.com/anesthesia-material/care-plans/positioning/115-lateral-decubitus#:~:text=This%20position%20is%20most%20often,dependent%20leg%20protects%20peroneal%20nerve.
Nishimoto S, Kudo T, Horiuchi I, Yabe K, Kurasawa S, Horiuchi A. Cap-assisted colonoscopy can increase the rate of sessile serrated lesion detection at the left lateral decubitus position: A retrospective case-control study. Medicine (Baltimore). 2023 Sep 22;102(38):e35264. Available from: https://pubmed.ncbi.nlm. nih.gov/37746993/.
Jang YE, Do SH, Song IA. Vasovagal cardiac arrest during spinal anesthesia for Cesarean section: A case report. Korean J Anesthesiol. 2013 Jan 21;64(1):77-81. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3558656/
The Royal College of Anesthesiologists of Thailand. Prevention and treatment guideline for postoperative nausea and vomiting. [Internet]2021. [cited 2024 Nov 23]. Available from: https://www. rcat.org/_files/ugd/82246c_3ca7253020344933ae10a7aaa20ecdc9.pdf
Dechakom S, Wangdee A, Jirakulsawat A. Nursing care for patients in the post-anesthesia care unit. Thai J Anesthesiol. 2014;1:46-62. [in Thai]
Fang L, Wang Q, Xu Y. Postoperative Discharge Scoring Criteria After Outpatient Anesthesia: A Review of the Literature. J Perianesth Nurs. 2023 Aug;38(4):642-649.e1. Available from: https://pubmed. ncbi.nlm.nih.gov/36670045/
Deshmukh PP, Chakole V. PubMed Central. Post-anesthesia recovery. [Internet]2024. [cited 2024 Nov 23]. Available from: https://pmc.ncbi.nlm. nih.gov/articles/PMC11537198/
