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Managing Upper Gastrointestinal Bleeding: Hemostasis Devices and the Nurse’s Role in Endoscopy

5

Free
1h 19min
Audio: English

Synopsis

This webinar provides a comprehensive overview of the nurse’s role in managing upper gastrointestinal (GI) bleeding in the endoscopy setting. It covers early assessment and pre-endoscopy preparation, followed by detailed guidance on intra-procedural nursing responsibilities, including monitoring, airway protection, and closed-loop communication. The session explores key hemostasis modalities - thermal therapy, injection techniques, mechanical devices, and advanced interventions such as glue injection and balloon tamponade - highlighting practical handling considerations and safety principles. Post-procedure monitoring and recognition of rebleeding are emphasized, reinforcing the critical role of skilled, prepared nurses in achieving safe and effective control of GI bleeding.

Objectives

  • Describe the key steps in the nursing management of upper gastrointestinal bleeding
  • Identify the main endoscopic hemostasis techniques and devices used in upper GI bleeding
  • Apply practical nursing considerations during endoscopic hemostasis procedures

Duration

1h 19min

Target audience

Gastroenterology

Authors

Ms. Pathomporn Bunnag

Pathomporn Bunnag, Head Nurse at GI endoscopy unit Siriraj Hospital

Conflicts of interests statement:

Ms Pathomporn Bunnag declares that she has no conflicts of interest to report.

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What you will learn

Overview of upper GI bleeding

  • Overview of upper GI bleeding

Assessment, pre-endoscopy preparation, and intra-procedural nursing care

  • Assessment, pre-endoscopy preparation, and intra-procedural nursing care

Foundations of Endoscopic Hemostasis: Therapies and Tools

  • Overview of hemostasis devices
  • Thermal hemostasis techniques
  • Injection-based therapies
  • Hemoclips and band ligation
  • Baloon tamponade and adjunct tools

Instrument handling

  • Instrument handling

Post-endoscopy monitoring and key take aways

  • Post-endoscopy monitoring and key takeaways

Expert discussion

  • Device selection strategy
  • Glue injection: Practical tips
  • Protecting the scope during glue use
  • Managing post-therapy scar bleeding
  • Gold Probe: Technique and troubleshooting
  • Ovesco Clip: Practical considerations
  • Argon plasma coagulation: Advanced considerations

Register now for free!

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