Gastroenterological Endoscopy. Группа авторов

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      5 Design of the Endoscopy Suite

       Hans-Dieter Allescher

      5.1 Introduction

      Endoscopic techniques continue to develop rapidly, and a myriad of other diagnostic imaging modalities have become more and more important and clinically relevant. When planning and designing a new endoscopic suite, these changing demands of technical equipment and information technologies have to be considered. Former guidelines can only be partially adapted to these recent changes. New demands to imaging, flexibility, and connectivity have to be defined. In general, the space and facilities required in endoscopic units depend on the spectrum and quantity of the procedure performed and the staff available. Additionally, it is important to predefine which endoscopic techniques should be performed or subsequently introduced. When required, the facilities should be sufficiently versatile and flexible to allow handling of emergency cases without disrupting routine procedures.

      There are some general questions and considerations which should be answered in a checklist before planning and building an endoscopic suite.

      5.2 General Questions and Considerations

      1. For what purposes are the endoscopy suite used?

      a) Only elective/planned procedures?

      b) Only outpatient or ambulatory patients or also inpatients?

      c) Estimated number of procedures and procedure types per day/week?

      d) Number and frequency of complex procedures (e.g., endoscopic submucosal dissection [ESD], peroral endoscopic myotomy [POEM], double-balloon endoscopy, cholangioscopy)?

      e) What types of therapeutic and invasive procedures are performed?

      f) Are special patient groups treated (e.g., pediatric patients, bariatric patients)?

      2. What types of complex procedures are performed?

      a) Frequency of X-ray and radiological demands?

      b) Need for navigated work or procedures?

      c) Need for combined imaging (e.g. endoscopic ultrasound [EUS] plus radiology)?

      d) Are there plans for NOTES (natural orifice transluminal endoscopic surgery) procedures (POEM, peroral endoscopic tumor resection [POET], ESD)?

      e) Are other procedures and tests (manometry, capsule endoscopy, function tests) performed within the unit?

      3. What are the streams of material/patients/doctors/nurses?

      a) What is the most effective way for patients to navigate from the time of admission until the end of recovery?

      b) Which pathway is most effective for endoscopic staff and nurses?

      c) СКАЧАТЬ