The role of endoscopic retrograde cholangiopancreatography injection training sessions for the gastroenterology nurse and associate.
Pancreatitis is a recognized serious complication of endoscopic retrograde cholangiopancreatography (ERCP). The pressure with which contrast media are injected may be a risk factor for developing pancreatitis. We, therefore, designed a study to determine if there were differences in pressures generated by experienced and inexperienced gastroenterology nurses and how much training would be required to instruct individuals to inject to a specific pressure. With the use of manometrically guided practice sessions, it was determined that inexperienced operators initially inject with significantly high pressure but can learn to inject accurately to a specific pressure as rapidly as experienced operators. Injection training sessions may be beneficial in minimizing the potential risk factor of hydrostatic pressure induced endoscopic retrograde cholangiopancreatography-associated pancreatitis.
Mathews
J S
JS
Maher
K A
KA
Cattau
E L
EL
D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects / Q000451:nursing*; D002983:Clinical Competence; D006801:Humans; D007318:Inservice Training / Q000592:standards*; D008365:Manometry; D009741:Nursing Staff, Hospital / Q000193:education* / Q000592:standards; D010195:Pancreatitis / Q000209:etiology