Reference no: EM133746850

Question

PROCEDURE TECHNIQUE: A physical exam was performed. Informed consent was obtained from the patient after explaining all the risks (perforation, bleeding, infection missed lesion(s), and adverse effects to the medicine), benefits and alternatives to the procedure which the patient appeared to understand and so stated. The patient was connected to the monitoring devices and placed in the left lateral position. Continuous oxygen was provided with a nasal cannula and IV medicine administered through an indwelling cannula. After adequate moderate sedation was achieved, a digital exam was performed and the colonoscope was introduced into the rectum and advanced under direct visualization to the cecum. The scope was subsequently removed slowly while carefully examining the color, texture, anatomy, and integrity of the mucosa on the way out. The prep quality was good with some sticky material adherent to the mucosa. Time to cecum was 6 minutes and time of withdrawal with careful inspection, trying to optimize the prep and remove two polyps was 21 minutes. The patient was subsequently transferred to the recovery area in satisfactory condition.