ASGE Guideline on the Role of Ergonomics for Prevention of Endoscopy-related Injury (ERI): Summary and Recommendations

• Published in: Gastrointestinal endoscopy 2023-05
• Main Authors: Pawa, Swati, Kwon, Richard S, Fishman, Douglas S, Thosani, Nirav C, Shergill, Amandeep, Grover, Samir, Al-Haddad, Mohammad, Amateau, Stuart K, Buxbaum, James L, Calderwood, Audrey H, Chalhoub, Jean M, Coelho-Prabhu, Nayantara, Desai, Madhav, Elhanafi, Sherif E, Forbes, Nauzer, Fujii-Lau, Larissa L, Kohli, Divyanshoo R, Machicado, Jorge D, Marya, Neil B, Ruan, Wenly, Sheth, Sunil G, Storm, Andrew, Thiruvengadam, Nikhil R, Qumseya, Bashar J
• Format: Article
• Language: English
• ISSN: 1097-6779
• DOI: 10.1016/j.gie.2023.05.056

This clinical practice guideline from the American Society for Gastrointestinal Endoscopy (ASGE) provides an evidence-based approach to strategies to prevent endoscopy-related injury (ERI) in GI endoscopists. It is accompanied by the document subtitled METHODOLOGY AND REVIEW OF EVIDENCE: Which provides a detailed account of the methodology employed for the evidence review. This document was developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework. The guideline estimates the rates, sites, and predictors of ERI. Additionally, it addresses the role of ergonomics training, microbreaks and macrobreaks, monitor and table positions, anti-fatigue mats, and use of ancillary devices in decreasing the risk of ERI. We recommend formal ergonomics education and neutral posture during the performance of endoscopy, achieved through adjustable monitor and optimal procedure table position, to reduce the risk of ERI. We suggest taking microbreaks and scheduled macrobreaks, and using anti-fatigue mats during procedures to prevent ERI. We suggest the use of ancillary devices in those with risk factors predisposing them to ERI.