With 3 loops, you get a lock and you're done. You can't go any fur-
ther."
The ability to actually see those inevitable loops can make things
dramatically easier. Enter the Olympus ScopeGuide, which displays a
3D image of the colonoscope during the procedure, eliminating the
guesswork as to why a scope has stalled, or what you need to do to
get it moving again. It can be a huge help navigating through difficult
colonoscopies, says Dr. Parikh. "Is the scope folded on itself? Is it
looped up? It's like taking an X-ray while the scope is in there," he
says.
Dr. Gorcey, who does consultancy work for Olympus, says after a while
you can start to think like the ScopeGuide, even when you're not using
one. That's helpful, he says, if you work in both ASCs and hospitals. "In an
ASC when you use a piece of equipment, you don't get reimbursed by the
insurance company, you eat the price," he says. "There are things I use reg-
ularly at the hospital that I don't use regularly at my surgery center. For
example, the ScopeGuide." But, he says, even if he's not using one, he won-
ders, What would the Scope-Guide show? "Often, you can figure out the
9 0
O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | M A Y 2 0 1 5
z VOLUME CONTROL If you use an irrigation
system to help "float around tight turns," make
sure you have a water pump with a foot pedal.
Pamela
Bevelhymer,
RN,
BSN
