How to apply pressure?

Posted
by Whatdouthink (New) New Nurse

Can someone help me understand how to apply abdominal pressure during a colonoscopy? It seems like the colonoscopies I circulate are always difficult. I can’t seem to help the endoscopist keep the scope from looping or get around curves. Does anyone have any advice?

ORnurseLovesHerOfficer

Specializes in Digestive Care OR Nursing & Correctional Nursing. Has 13 years experience. 4 Posts

I always ask the doctor where they think the loop is. I also visualize the abdomen and see if I can see the light from the scope. Our GI dept head taught me that when you are in doubt and other areas aren’t working, start at the belly button and push in and up. It has helped me immensely 

Whatdouthink

2 Posts

So if I see the scope looping, is it correct to push there? Or if I can’t see it, just apply pressure in the area that the doctor thinks it is looping? If it still doesn’t work, try at the belly button pushing in and up? 

mumarada, BSN, RN

Specializes in Med/Surg, Tele, ICU/CCU, GE Lab. Has 10 years experience. 37 Posts

Kelly Osborne got her doctorate on this exact subject.  LINK   I listened to a webinar, she's a big proponent of Colowrap