The effectiveness of a body positioning device for controlling patient movement and additional sedative use during endoscopic retrograde cholangiopancreatography: A retrospective analysis
Abstract Background Endoscopic retrograde cholangiopancreatography requires precise body movement control for procedural safety and efficiency. Sedatives are commonly used but pose risks, especially in elderly patients. This study evaluated the effectiveness of the Medo V‐Fix device in controlling p...
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Wiley
2025-04-01
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| Online Access: | https://doi.org/10.1002/deo2.70095 |
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| author | Haruka Masuda Tsutomu Nishida Kengo Matsumoto Dai Nakamatsu Shiro Hayashi Masashi Yamamoto |
| author_facet | Haruka Masuda Tsutomu Nishida Kengo Matsumoto Dai Nakamatsu Shiro Hayashi Masashi Yamamoto |
| author_sort | Haruka Masuda |
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| description | Abstract Background Endoscopic retrograde cholangiopancreatography requires precise body movement control for procedural safety and efficiency. Sedatives are commonly used but pose risks, especially in elderly patients. This study evaluated the effectiveness of the Medo V‐Fix device in controlling patient movement during endoscopic retrograde cholangiopancreatography. Methods Of 1723 endoscopic retrograde cholangiopancreatography procedures performed between January 2021 and March 2024, 1,528 were analyzed after excluding cases with missing data. Patients were divided into two groups, the device group (n = 697) and the nondevice group (n = 831). The groups were compared with respect to body movement control, additional sedative administration, sedation‐related complications, and procedure discontinuation. Results Baseline characteristics were similar between the groups. Body movement control was better with the device (good, 65.7%; poor, 24.0%; and very poor, 10.3%) than without it (good, 48.1%; poor, 30.7%; and very poor, 21.2%; p < 0.0001). The device reduced the need for manual assistance and additional sedatives. Fewer patients in the device group (9.5% vs. 15.6%, p = 0.0003) required an additional thiopental dose, and the dose was lower (4.5 mg vs. 6 mg, p = 0.0015). No procedure discontinuation occurred in the device group, whereas five discontinuations occurred in the nondevice group. Although hypoxemia was more frequent in the device group (14.5% vs. 8.8%, p = 0.0005), no severe adverse events occurred. Conclusions The Medo V‐Fix device significantly improved body movement control and reduced the need for additional doses of sedatives and manual intervention. Despite a higher incidence of mild hypoxemia, these events were appropriately managed with routine monitoring, indicating that the device increases procedural safety and efficiency. |
| format | Article |
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| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
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| spelling | doaj-art-24eb6db2c28e47e38f1d722cd23a36222025-08-20T02:18:56ZengWileyDEN Open2692-46092025-04-0151n/an/a10.1002/deo2.70095The effectiveness of a body positioning device for controlling patient movement and additional sedative use during endoscopic retrograde cholangiopancreatography: A retrospective analysisHaruka Masuda0Tsutomu Nishida1Kengo Matsumoto2Dai Nakamatsu3Shiro Hayashi4Masashi Yamamoto5Department of Gastroenterology Toyonaka Municipal Hospital Osaka JapanDepartment of Gastroenterology Toyonaka Municipal Hospital Osaka JapanDepartment of Gastroenterology Toyonaka Municipal Hospital Osaka JapanDepartment of Gastroenterology Toyonaka Municipal Hospital Osaka JapanDepartment of Gastroenterology Toyonaka Municipal Hospital Osaka JapanDepartment of Gastroenterology Toyonaka Municipal Hospital Osaka JapanAbstract Background Endoscopic retrograde cholangiopancreatography requires precise body movement control for procedural safety and efficiency. Sedatives are commonly used but pose risks, especially in elderly patients. This study evaluated the effectiveness of the Medo V‐Fix device in controlling patient movement during endoscopic retrograde cholangiopancreatography. Methods Of 1723 endoscopic retrograde cholangiopancreatography procedures performed between January 2021 and March 2024, 1,528 were analyzed after excluding cases with missing data. Patients were divided into two groups, the device group (n = 697) and the nondevice group (n = 831). The groups were compared with respect to body movement control, additional sedative administration, sedation‐related complications, and procedure discontinuation. Results Baseline characteristics were similar between the groups. Body movement control was better with the device (good, 65.7%; poor, 24.0%; and very poor, 10.3%) than without it (good, 48.1%; poor, 30.7%; and very poor, 21.2%; p < 0.0001). The device reduced the need for manual assistance and additional sedatives. Fewer patients in the device group (9.5% vs. 15.6%, p = 0.0003) required an additional thiopental dose, and the dose was lower (4.5 mg vs. 6 mg, p = 0.0015). No procedure discontinuation occurred in the device group, whereas five discontinuations occurred in the nondevice group. Although hypoxemia was more frequent in the device group (14.5% vs. 8.8%, p = 0.0005), no severe adverse events occurred. Conclusions The Medo V‐Fix device significantly improved body movement control and reduced the need for additional doses of sedatives and manual intervention. Despite a higher incidence of mild hypoxemia, these events were appropriately managed with routine monitoring, indicating that the device increases procedural safety and efficiency.https://doi.org/10.1002/deo2.70095body movement controlbody positioning deviceendoscopic retrograde cholangiopancreatographysedationsedation‐related complications |
| spellingShingle | Haruka Masuda Tsutomu Nishida Kengo Matsumoto Dai Nakamatsu Shiro Hayashi Masashi Yamamoto The effectiveness of a body positioning device for controlling patient movement and additional sedative use during endoscopic retrograde cholangiopancreatography: A retrospective analysis DEN Open body movement control body positioning device endoscopic retrograde cholangiopancreatography sedation sedation‐related complications |
| title | The effectiveness of a body positioning device for controlling patient movement and additional sedative use during endoscopic retrograde cholangiopancreatography: A retrospective analysis |
| title_full | The effectiveness of a body positioning device for controlling patient movement and additional sedative use during endoscopic retrograde cholangiopancreatography: A retrospective analysis |
| title_fullStr | The effectiveness of a body positioning device for controlling patient movement and additional sedative use during endoscopic retrograde cholangiopancreatography: A retrospective analysis |
| title_full_unstemmed | The effectiveness of a body positioning device for controlling patient movement and additional sedative use during endoscopic retrograde cholangiopancreatography: A retrospective analysis |
| title_short | The effectiveness of a body positioning device for controlling patient movement and additional sedative use during endoscopic retrograde cholangiopancreatography: A retrospective analysis |
| title_sort | effectiveness of a body positioning device for controlling patient movement and additional sedative use during endoscopic retrograde cholangiopancreatography a retrospective analysis |
| topic | body movement control body positioning device endoscopic retrograde cholangiopancreatography sedation sedation‐related complications |
| url | https://doi.org/10.1002/deo2.70095 |
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