YKHC Low-Risk Endoscopy Criteria: Difference between revisions
From Guide to YKHC Medical Practices
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==OVERVIEW== | |||
Because YKHC has no ICU, serious endoscopy complications require Medevac transfer. Prevention of this occurrence is a priority. Therefore endoscopy in Bethel is limited to relatively low risk patients. | |||
==GENERAL== | ==GENERAL== | ||
===BMI=== | ===BMI=== |
Revision as of 01:05, 11 October 2017
OVERVIEW
Because YKHC has no ICU, serious endoscopy complications require Medevac transfer. Prevention of this occurrence is a priority. Therefore endoscopy in Bethel is limited to relatively low risk patients.
GENERAL
BMI
- BMI < 45 (non-negotiable limit)
- For BMI 35-45, consult anesthesia
CARDIAC
CHF
- Most recent LVEF >= 40%
- Recent (<6mos) BNP <= 125 pg/mL (or YKHC laboratory’s current upper limit of normal)
- No loop diuretic use (chronic or acute) within the last 12 months
CAD
- No history of coronary revascularization (either surgical or endovascular)
- No use of anti-angina agents in the last 12 months
- Normal exercise treadmill test within the last 12 months
PULMONARY
COPD
Post-bronchodilator FEV1 >= 60% of predicted