Does Patient Position During Extubation at Colonoscopy Influence the Quality of Mucosal Visualisation?
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 41
- 试验地点
- 1
- 主要终点
- Mucosal visualisation
研究概览
简要总结
Colonoscopy is the gold standard investigation in the screening of colorectal neoplasms. The investigators hypothesise that visualisation of the colonic mucosa on extubation may be improved by changing patient position as follows: left lateral position for the right colon, supine for the transverse colon and right lateral position for the left colon(fixed positioning). The investigators aim to validate our hypothesis by performing a randomised control study, comparing mucosal visualisation in patients placed in the 'routine' positions at the discretion of the endoscopist with visualisation in those placed in the above described positions. The hypothesis is that fixed positioning confers an advantage.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients requiring colonoscopy
排除标准
- •Polyp surveillance
- •Cancer surveillance
- •Infirmity
- •Pregnancy
- •Colectomy
- •Poor tolerance
- •Failed colonoscopy
- •Poor bowel preparation
研究组 & 干预措施
'Free' positioning withdrawal
Withdrawal of the colonoscope with the patient positioned at the discretion of the endoscopist
干预措施: Colonoscopy (Procedure)
'Fixed' position withdrawal
Patient positioned in the left lateral position to visualise the caecum, ascending colon and hepatic flexure; supine to visualise the transverse colon; and in the right lateral position to visualise the splenic flexure, descending colon and the sigmoid colon
干预措施: Colonoscopy (Procedure)
结局指标
主要结局
Mucosal visualisation
时间窗: 3 months
Made by video assessment of colonoscopic withdrawal
Luminal distension
次要结局
未报告次要终点
