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Minimizing occupational hazards in endoscopy: personal protective equipment, radiation safety, and ergonomics.

机译:最大限度地减少内窥镜检查中的职业危害:个人防护设备,辐射安全性和人体工程学。

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The ASGE Technology Committee provides reviews of existing, new, or emerging endoscopic technologies that have an impact on the practice of GI endoscopy. Evidence-based methodology is used, by using a MEDLINE literature search to identify pertinent clinical studies on the topic and a MAUDE (U.S. Food and Drug Administration Center for Devices and Radiological Health) database search to identify the reported complications of a given technology. Both are supplemented by accessing the "related articles" feature of PubMed and by scrutinizing pertinent references cited by the identified studies. Controlled clinical trials are emphasized, but in many cases, data from randomized, controlled trials are lacking. In such cases, large case series, preliminary clinical studies, and expert opinions are used. Technical data are gathered from traditional and Web-based publications, proprietary publications, and informal communications with pertinent vendors. Technology Status Evaluation Reports are drafted by 1 or 2 members of the ASGE Technology Committee, reviewed and edited by the committee as a whole, and approved by the Governing Board of the ASGE. When financial guidance is indicated, the most recent coding data and list prices at the time of publication are provided. For this review, the MEDLINE database was searched through August 2009 for articles related to personal protection equipment by using the key words "personal protection equipment" (exp Protective Clothing/ or exp Protective Devices/ or exp Masks/ or exp Occupational Exposure/'') "infection control" paired with "Endoscopy." For the radiation section, the following key words were used: "radiation and endoscopy," "radiation and ERCP," and "radiation safety." For the ergonomics section, the following key words were used: ergonomics of endoscopy, and musculoskeletal strain," "musculoskeletal injury and endoscopists," occupational diseases and endoscopy, endoscopy," "repetitive strain injury and endoscopy." Technology Status Evaluation Reports are scientific reviews provided solely for educational and informational purposes. Technology Status Evaluation Reports are not rules and should not be construed as establishing a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment or payment for such treatment.
机译:ASGE技术委员会将对影响GI内窥镜检查实践的现有,新的或新兴的内窥镜检查技术进行审查。通过使用MEDLINE文献搜索来识别有关该主题的相关临床研究,并使用MAUDE(美国食品和药物管理局设备与放射卫生中心,数据库)来识别所报告的给定技术的并发症,从而使用基于证据的方法。通过访问PubMed的“相关文章”功能并仔细检查已鉴定研究引用的相关参考文献,可以对这两种方法进行补充。强调了对照临床试验,但是在许多情况下,缺乏来自随机对照试验的数据。在这种情况下,将使用大病例系列,初步临床研究和专家意见。技术数据是从传统的和基于Web的出版物,专有出版物以及与相关供应商的非正式交流中收集的。技术状态评估报告由ASGE技术委员会的1或2名成员起草,由委员会整体审查和编辑,并由ASGE理事会批准。当指示财务指导时,将提供发布时的最新编码数据和清单价格。在本次审查中,使用关键词“个人防护设备”(exp防护服/ exp防护设备/ exp口罩/ exp职业接触/”搜索了截至2009年8月的MEDLINE数据库中与个人防护设备有关的文章。 )“感染控制”与“内窥镜检查”配对。对于辐射部分,使用了以下关键词:“辐射和内窥镜检查”,“辐射和ERCP”和“辐射安全性”。在人体工程学部分中,使用了以下关键词:内窥镜和肌骨骼应变的人体工程学,“骨骼肌损伤和内镜医师”,职业病和内窥镜,内窥镜检查,“重复性应变损伤和内窥镜检查”。技术状态评估报告是仅出于教育和信息目的而提供的科学评论。技术状态评估报告不是规则,不应解释为建立护理的法律标准,也不应当视为鼓励,提倡,要求或劝阻任何特定治疗或为此类治疗付费。

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