Comparison of the single‐use Ambu^® aScope™ 2 vs the conventional fibrescope for tracheal intubation in patients with cervical spine immobilisation by a semirigid collar*

Abstract

SummaryFibreoptic intubation remains a key technique for the management of difficult intubation. We randomly compared the second generation single-use Ambu

Single‐use flexible bronchoscopes compared with reusable bronchoscopes: Positive organizational impact but a costly solution

“…The single‐use flexible bronchoscope (FB) represents a novel health technology. Several studies have demonstrated a clinical equivalence with its reusable counterpart in intubation success, time taken for intubation, picture quality, and ease of use . In addition, others have found that using reusable FBs can lead to cross‐contamination, highlighting one advantage of single‐use FBs in improved patient safety.…”

“…Several studies have demonstrated a clinical equivalence with its reusable counterpart in intubation success, time taken for intubation, picture quality, and ease of use. [8][9][10] In addition, others have found that using reusable FBs can lead to cross-contamination, 11,12 highlighting one advantage of single-use FBs in improved patient safety. As single-use FBs do not require any reprocessing, we hypothesized that they would also have strong organizational advantages at a hospital level.…”

An evaluation of a new single-use flexible bronchoscope with a large suction channel: reliability of bronchoalveolar lavage in ventilated piglets and initial clinical experience

“…BAL, intubation, tracheotomy, biopsy and bronchial suction). Thus, this is a device comparable with a re-usable flexible bronchoscope in functionality, unlike other single-use devices without a working channel previously developed [9][10][11]. The results of this preliminary evaluation in animals and in the clinical setting demonstrate high satisfaction.…”

“…Although the performance of the device was acceptable, it was considered to be inferior to the usual flexible bronchoscope and disinfection was still required after use [7,8]. Other single-use devices have been developed for intubation or percutaneous tracheostomy, but the lack of an effective working channel was a major limiting factor [9][10][11]. An innovative single-use flexible bronchoscope with an internal working and suction channel of 2.0 mm diameter has recently been developed and is commercially available (Axess Vision Technology, Tours, France).…”

Cost analysis of single-use (Ambu® aScope™) and reusable bronchoscopes in the ICU

“…Piepho et al [6] studied the aScope™ and reported lower success rate for intubation and limited capacity to perform airway suctioning. Two additional drawbacks of the aScope™ are availability of only one size and its low image resolution [7, 8]. Mankikian found a global satisfaction with another type of single-use devices in clinical practice and for BAL in ventilated piglets [9].…”