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The Economics of Prefilled Syringes - August 2017 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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distal end of a standard colono- scope. If inflated during withdraw- al, it straightens out folds. A multi- center random- ized study report- ed a 16% increased ADR compared to a standard colono- scope. A power flush also makes for a marked improvement in visualiza- tion, says Gregory G. Ginsberg, MD, a professor and executive direc- tor of endoscopic services at the University of Pennsylvania Perelman School of Medicine in Philadelphia. Most newer model scopes include forward flush capabilities, he says. Irrigation systems that thread through a scope's working channel are also available. Not only is irri- gation essential for clearing residual matter, bleeding or other obstructions, "it can also provide lubrication in the colon, decreasing tactile resistance and easing the passage of the scope," says Dr. Ginsberg. Shared goal The newest enhancements fall into 2 areas: improved optics and smooth- ing mechanical innovations. The approaches differ, but they all aim for the same goal — better visualization of the entire colon surface. OSM 1 0 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A U G U S T 2 0 1 7 • MISSED POLYPS An extended viewing field provided by additional cameras in new endoscopes can augment detection of polyps behind folds. Pamela Bevelhymer, RN, BSN, CNOR

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