Endoscopic nurse-physician assistant during intraluminal endoscopic interventions on the organs of the pancreatobiliary system

In the modern world, the position of a nurse in endoscopy is growing and changing significantly: she becomes a doctor’s assistant during surgical interventions. The relevance of this topic is due to the fact that pancreatobiliary interventions are a complex, potentially lengthy procedure and the role of a nurse during retrograde halangiopancreatography. (ERCP) is extremely large and responsible. At the current moment of development of the endoscopic society of nurses, there is an obvious problem of lack of skills and understanding of the importance of their role in the endoscopic X-ray operating room. Many nurses do not realize the volume of increased workload and increased level of involvement in the process that occurs during minimally invasive surgical interventions. A nurse during pancreatobiliary interventions becomes a full-fledged assistant to a doctor and in addition to long-familiar duties, responsibility for the outcome of the manipulation falls on her shoulders. A nurse must know all the instruments, materials, PPE and solutions that are involved in retrograde interventions. The variety of endoscopic instruments is growing every day, as are their capabilities. In addition to knowledge of the instruments, a nurse must improve her skills and knowledge as an assistant to a doctor. Work in an endoscopic X-ray operating room is complex and painstaking. The article discusses the main aspects of a nurse’s work during ERCP, including equipment preparation, patient positioning, use of personal protective equipment (PPE), and interaction with a doctor. Nurses should pay special attention to improving their qualifications. A nurse must understand that the outcome of the surgical intervention and the patient’s further condition depend on her actions.

pancreatobiliary interventions, nurse, physician assistant, X-ray operating room, retrograde cholangiopancreatography (ERCP)

1. Alexey Korotkevich: Endoscopy in nursing. Gastroenterology, abdominal surgery + Appendix: additional materials: textbook / (Eds) A. G. Korotkevich. Moscow: KNORUS, 2022. 300 p.@@ Алексей Короткевич: Эндоскопия в сестринском деле. Гастроэнтерология, абдоминальная хирургия + Приложение: дополнительные материалы: учебник / А. Г. Короткевич. - Москва: КНОРУС, 2022-300с. - (Среднее профессиональное образование)

2. Barbado Mamedova P. A., Grashchenko S. A., Voinovsky A. E. Peroral cholangioscopy-guided electrohydraulic lithotripsy in difficult cholelithiasis. Endoscopic Surgery. 2022;28(5):4851. (In Russ.) doi: 10.17116/endoskop20222805148.@@ Барбадо Мамедова П. А., Гращенко С. А., Войновский А. Е. Электрогидравлическая литотрипсия под контролем пероральной холангиоскопии при сложном холедохолитиазе. Эндоскопическая хирургия. 2022;28(5):48-51. doi: 10.17116/endoskop20222805148.

3. Dyuzheva T. G., Shirkunov A. P., Barbado Mamedova P. A. et al. Acute biliary pancreatitis: severity criteria, role of biliary sludge, treatment. Annals of surgical hepatology. 2024; 29 (4): 98-106. (in Russ.) doi: 10.16931/1995-5464.2024-4-98-106.@@ Дюжева Т. Г., Ширкунов А. П., Барбадо Мамедова П. А., Белых Е. Н., Соколов А. А., Степанченко А. П., Пашковская А. А., Харьков Д. И. Острый билиарный панкреатит: критерии тяжести, роль билиарного сладжа, лечение. Анналы хирургической гепатологии. 2024; 29 (4): 98-106. https://doi.org/10.16931/1995-5464.2024-4-98-106.