Log in to MyKarger to check if you already have access to this content.

Buy FullText & PDF Unlimited re-access via MyKarger Unrestricted printing, no saving restrictions for personal use read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.

Save over 20% compared to the individual article price.

Learn more

Access via DeepDyve Unlimited fulltext viewing Of this article Organize, annotate And mark up articles Printing And downloading restrictions apply

Select

Subscribe Access to all articles of the subscribed year(s) guaranteed for 5 years Unlimited re-access via Subscriber Login or MyKarger Unrestricted printing, no saving restrictions for personal use read more

Subcription rates

Select

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview

Received: April 12, 2022
Accepted: June 29, 2022
Published online: August 29, 2022

Number of Print Pages: 8
Number of Figures: 5
Number of Tables: 0

ISSN: 0025-7931 (Print)
eISSN: 1423-0356 (Online)

For additional information: https://www.karger.com/RES

Abstract

Background: The development of single-use flexible or disposable bronchoscopes (SUFBs) has accelerated in recent years, with the reduced risk of infectious transmission and reduced need for endoscopy staffing particularly advantageous in the COVID-19 pandemic era. Objective: The objective of this study was to assess the performance of a novel single-use bronchoscope in an academic quaternary referral centre with on-site interventional pulmonology programme. Methods: With ethical approval in a quaternary referral centre, we prospectively collected data on sequential bronchoscopy procedures using The Surgical Company Broncoflex© range of SUFBs. Data collected included demographic, procedural, scope performance, user satisfaction, and complication parameters in a tertiary bronchoscopy service. Results: 139 procedures were performed by five pulmonology faculty from January to July 2021. The majority were carried out for infection (45%) and malignancy (32%). Most were performed in the endoscopy suite and 8% were COVID positive or suspected. Most procedures reported the highest score in satisfaction (85%) with technical limitations reported in 15% (predominately related to scope suction or inadequate image quality) reverting to a reusable scope in 2.8 %. Conclusion: In our subset of patients in a bronchoscopy unit, SUFBs are safe, and both routine and advanced bronchoscopy procedures can be performed with high satisfaction reported.

© 2022 S. Karger AG, Basel

References Mouritsen JM, Ehlers L, Kovaleva J, Ahmad I, El-Boghdadly K. A systematic review and cost effectiveness analysis of reusable vs. single-use flexible bronchoscopes. Anaesthesia. 2020 Apr;75(4):529–40. Singh S, Shah PL. Safe and efficient practice of bronchoscopic sampling from mechanically ventilated patients: a structured evaluation of the Ambu Bronchosampler-Ascope 4 integrated system. Respiration. 2021 Feb;100(1):27–33. Marshall DC, Dagaonkar RS, Yeow C, Peters AT, Tan SK, Tai DYH, et al. Experience with the use of single-use disposable bronchoscope in the ICU in a tertiary referral center of Singapore. J Bronchology Interv Pulmonol. 2017;24(2):136–43. Ho E, Wagh A, Hogarth K, Murgu S. Single-use and reusable flexible bronchoscopes in pulmonary and critical care medicine. Diagnostics. 2022 Jan;12(1):174. Ofstead CL, Quick MR, Wetzler HP, Eiland JE, Heymann OL, Sonetti DA, et al. Effectiveness of reprocessing for flexible bronchoscopes and endobronchial ultrasound bronchoscopes. Chest. 2018 Nov;154(5):1024–34. Single-use (disposable) devices | FAQs | Infection control | Division of Oral Health | CDC. [cited 2022 Mar 25]. Available from: https://www.cdc.gov/oralhealth/infectioncontrol/faqs/single-use-devices.html. Top 10 health technology hazards for 2019. [cited 2022 Mar 25]. Available from: https://www.ecri.org/top-ten-tech-hazards. Barron S, Kennedy MP. Can single-use bronchoscopes help prevent nosocomial COVID-19 infections? Expert Rev Med Devices. 2021;18(5):439–43. Barron S, Kennedy MP. Single-use bronchoscopes: applications in COVID-19 pandemic. J Bronchology Interv Pulmonol. 2021 Jan;28(1):E3–4. Beeh KM, Chaudhuri N, Craig TJ, Kaplan A, Kennedy MP. Pulmonary therapy podcast-COVID-19: research and real-world experiences from the editorial board. Pulm Ther. 2021 Jun;7(1):1–7. Barron SP, Kennedy MP. Single-use (disposable) flexible bronchoscopes: the future of bronchoscopy? Adv Ther. 2020 Nov;37(11):4538–48. Flandes J, Giraldo-Cadavid LF, Alfayate J, Fernández-Navamuel I, Agusti C, Lucena CM, et al. Bronchoscopist’s perception of the quality of the single-use bronchoscope (Ambu aScope4™) in selected bronchoscopies: a multicenter study in 21 Spanish pulmonology services. Respir Res. 2020 Dec;21(1):320. O’Shea C, Khan KA, Tugwell J, Cantillon-Murphy P, Kennedy MP. Loss of flexion during bronchoscopy: a physical experiment and case study of commercially available systems. Lung Cancer Manag. 2017 Dec;6(3):109–18. Ofstead CL, Hopkins KM, Binnicker MJ, Poland GA. Potential impact of contaminated bronchoscopes on novel coronavirus disease (COVID-19) patients. Infect Control Hosp Epidemiol. 2020 Jul;41(7):862–4. Ofstead CL, Heymann OL, Quick MR, Johnson EA, Eiland JE, Wetzler HP. The effectiveness of sterilization for flexible ureteroscopes: a real-world study. Am J Infect Control. 2017 Aug;45(8):888–95. Ofstead CL, Hopkins KM, Buro BL, Eiland JE, Wetzler HP. Challenges in achieving effective high-level disinfection in endoscope reprocessing. Am J Infect Control. 2020 Mar;48(3):309–15. Mehta AC, Gildea T. Burying our heads in the sand: cross-contamination during bronchoscopy. Chest. 2018 Nov;154(5):1001–3. Kalipershad SNR, Subar DA, Date RS. The feasibility of disposable video-bronchoscopes, Ambu aScope3, for exploration of the common bile duct and extraction of stones. DEN open. 2022 Apr;2(1):e67. Hamilton BCS, Gesthalter YB. Keep it clean: novel use of sterile disposable flexible bronchoscopes for pleuroscopy. J Bronchology Interv Pulmonol. 2022 Jan;29(1):e2–4. Lilholt Sørensen B. Comparative study on environmental impacts of reusable and single-use bronchoscopes. Am J Environ Prot. 2018;7(4):55. Article / Publication Details

First-Page Preview

Received: April 12, 2022
Accepted: June 29, 2022
Published online: August 29, 2022

Number of Print Pages: 8
Number of Figures: 5
Number of Tables: 0

ISSN: 0025-7931 (Print)
eISSN: 1423-0356 (Online)

For additional information: https://www.karger.com/RES

Copyright / Drug Dosage / Disclaimer Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.