Publications by authors named "Garry Nind"
Physician-directed nurse-administered balanced propofol sedation (PhD NAPS) in patients undergoing endoscopy and/or colonoscopy is being increasingly utilized worldwide. However, this method of sedation is not universally employed in Australian hospitals due to concerns surrounding its safety. The aim of this study was to assess the safety of PhD NAPS in low-risk patients undergoing endoscopy and/or colonoscopy.
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- This study examined the effectiveness of high-definition white light endoscopy (hWLE) and narrow band imaging (NBI) in distinguishing between tiny colorectal polyps (≤ 5 mm), which account for 80% of colon polyps.
- Eight endoscopists evaluated 100 video recordings of polyps (some hyperplastic, some adenomatous) using both hWLE and NBI, with NBI showing improvements in accuracy from 68.8% to 91.3% after training.
- The results indicated that NBI could achieve similar accuracy levels as hWLE for differentiating polyps, with better interobserver agreement, making it a useful tool for end
Aim: To compare the impact of carbon dioxide (CO₂) and air insufflation on patient tolerance/safety in deeply sedated patients undergoing colonoscopy.
Methods: Patients referred for colonoscopy were randomized to receive either CO₂ or air insufflation during the procedure. Both the colonoscopist and patient were blinded to the type of gas used.
Background & Aims: Gastroesophageal reflux is a major problem in mechanically ventilated patients and may lead to pulmonary aspiration and erosive esophagitis. Transient lower esophageal sphincter relaxations are the most common mechanism underlying reflux in nonventilated patients. The mechanisms that underlie reflux in critically ill ventilated patients have not been studied.
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