Jagirdhar GSK, Elmati PR, Pattnaik H, Shah M, Surani S. Navigating gastrointestinal endoscopy challenges in the intensive care unit: A mini review. World J Crit Care Med 2024; 13(4): 100121 [DOI: 10.5492/wjccm.v13.i4.100121]
Corresponding Author of This Article
Salim Surani, FACP, FCCP, MD, MHSc, Professor, Department of Medicine and Pharmacology, Texas A and M University, 40 Bizzell Street, College Station, TX 77843, United States. srsurani@hotmail.com
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Gowthami Sai Kogilathota Jagirdhar, Department of Medicine, Saint Michaels Medical Center, Newark, NJ 07107, United States
Praveen Reddy Elmati, Department of Anesthesiology, Saint Clair Hospital, Dover, NJ 07801, United States
Harsha Pattnaik, Department of Medicine, Lady Hardinge Medical College, New Delhi 110001, India
Mehul Shah, Department of Gastroenterology, Saint Michaels Medical Center Newark, Newark, NJ 07104, United States
Salim Surani, Department of Medicine and Pharmacology, Texas A and M University, College Station, TX 77843, United States
Author contributions: Kogilathota Jagirdhar GS designed the overall concept and outline of the manuscript; Kogilathota Jagirdhar GS, Elmati PR and Pattnaik H performed the research and analyzed the data; Elmati PR, Shah M, Kogilathota Jagirdhar GS, Pattnaik H and Surani S contributed to the manuscript's writing and editing; All authors have read and approved the final manuscript.
Conflict-of-interest statement: None of the authors have any conflict of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Salim Surani, FACP, FCCP, MD, MHSc, Professor, Department of Medicine and Pharmacology, Texas A and M University, 40 Bizzell Street, College Station, TX 77843, United States. srsurani@hotmail.com
Received: August 7, 2024 Revised: October 8, 2024 Accepted: October 22, 2024 Published online: December 9, 2024 Processing time: 84 Days and 21.7 Hours
Abstract
Patients in the intensive care unit (ICU) may need bedside endoscopy for gastrointestinal (GI) emergencies. Conducting endoscopy in the ICU for critically ill patients needs special consideration. This mini review focuses on indications for bedside endoscopes, including GI bleeding, volvulus, and bowel obstruction. It explains the risks associated with urgent endoscopies in critical patients and outcomes. Hemodynamic instability, coagulopathy, and impaired mucosal visualization are important considerations before bedside endoscopy. It also discusses the anesthesia considerations for non-operating room anesthesia. Multidisciplinary collaboration, meticulous patient selection, and procedural optimization help mitigate risks and maximize procedural success.
Core Tip: Bedside endoscopies are commonly practiced in intensive care unit for gastrointestinal emergencies and when patients cannot be transported outside the critical care unit for various indications. Consideration for multiorgan dysfunction and acuity of presentation is needed when planning bedside endoscopies. The present mini review underscores the importance of careful patient selection, timely implementation, and interdisciplinary cooperation in the management of potential hazards, including hemodynamic instability, coagulopathy, and compromised mucosal.
