Second OpinionsSimethicone in endoscopy

Simethicone in endoscopy

How many facilities use simethicone during endoscopy procedures? Do you test your scopes for residue from the simethicone before or after reprocessing? Do you use it in an irrigation bottle or inject it through the biopsy channel?

Started by: Brenda Watkins (Other) at September 20, 2016 (10:03 am)

Comments and Responses


This topic has reached our facility, we were using the irrigation bottle to put the Simethicone in. Now we are trying to find guidelines on how much should be used to what ratio of saline/ or water being irrigated. Does any one have a suggested ratio to patient on the use of simethicone.

Amanda Durham (Other) at November 4, 2016 (1:14 am)

We added to the water bottle on physician request but I have brought this concern to our physicians and will address at our next board meeting.

k. Tafoya (Director, Surgical Services/Director of Nursing) at September 20, 2016 (1:40 pm)

We are currently using upon physician request but are in the process of reviewing best practice based on the most recent discussions.

Leanne Brand RN,BA,MA,CGRN
Manager Digestive Health and Pain Centers

Leanne Brand (Administrator/Director/Manager/Owner/Executive Officer) at September 20, 2016 (1:24 pm)

We only inject through the biopsy channel as needed.

Michelle Steele (Administrator/Director/Manager/Owner/Exec. Officer) at September 20, 2016 (12:16 pm) [last edited on September 20, 2016 (12:19 pm)]

We were adding to the water bottle but no longer use that practice.

E. Whitton (OR Manager/Supervisor) at September 20, 2016 (12:05 pm)

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