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

Châteauvieux, Constance; Farah, Line; Guérot, Emmanuel; Wermert, Delphine; Pineau, Judith; Prognon, Patrice; Borget, Isabelle; Martelli, Nicolas

doi:10.1111/jep.12904

Cited by 30 publications

(30 citation statements)

References 15 publications

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“…Disposable scopes are used for biopsies in limited circumstances. Disposable scopes are cost effective in lower volume hospitals where <200 FBs are performed every year (4,5).…”

Section: Diagnostic Bronchoscopymentioning

confidence: 99%

Equipment and procedural setup for interventional pulmonology procedures in the intensive care unit

Ray¹,

Holden²,

Sachdeva³

et al. 2021

J Thorac Dis

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Procedural setup is an important aspect of any procedure. Interventional pulmonologists provide a procedural practice and have additional expertise in performing high-risk procedures needed in the critically ill patients in intensive care. Taking the time to plan the procedure setup in advance and having all necessary equipment readily available at the patient's bedside is imperative for procedural services. This is especially essential to ensure patient safety, minimize risk of complications, and improve success for specialized procedures performed by interventional pulmonary in the intensive care unit. In this review we describe the equipment and procedural setup ideal for both pleural and airway procedures.These include flexible diagnostic and therapeutic bronchoscopy, ultrasound guided thoracentesis, chest tube insertion, difficult airway management, and bedside percutaneous dilatation tracheostomy. We provide a guide checklist for these procedures emphasizing the practical aspects of each procedure from selecting the appropriate size endotracheal tube to operator positioning to ensure efficiency and best access. The components of procedural setup are discussed in relation to patient factors that include patient positioning and anesthesia, personnel in the procedure team and the equipment itself. We further briefly describe the additional equipment needed for specialized techniques in therapeutic bronchoscopy used by interventional pulmonologists.

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“…Disposable scopes are used for biopsies in limited circumstances. Disposable scopes are cost effective in lower volume hospitals where <200 FBs are performed every year (4,5).…”

Section: Diagnostic Bronchoscopymentioning

confidence: 99%

Equipment and procedural setup for interventional pulmonology procedures in the intensive care unit

Ray¹,

Holden²,

Sachdeva³

et al. 2021

J Thorac Dis

View full text Add to dashboard Cite

show abstract

“…As SUFBs do not require any reprocessing after use, the risk of transmission of infectious particles to HCP is reduced by minimising exposure to fomites or aerosols. The portable screens are also easy to clean and a less complex circuit allows for easier tracing of any potential contaminants [14].…”

Section: Advantages Of Single-use Flexible Bronchoscopes Over Reusablmentioning

confidence: 99%

“…The ability of trainees to learn is limited while current recommendations advise that only essential personnel are allowed into the room during bronchoscopy [2,9,24,25]; however, the video function on SUFBs allows you to easily record and store images which can be used to demonstrate clinical anatomy and pathology [14] from a remote location where social distancing can easily be observed. They are also useful as general teaching aids such as simulation training with mannequins which has been shown to reduce the amount of subsequent damage to RFBs [28,29].…”

Section: Advantages Of Single-use Flexible Bronchoscopes Over Reusablmentioning

confidence: 99%

“…Until now, disposable or single-use flexible bronchoscopes (SUFBs) have primarily been used by anaesthetists in an ICU or peri-operative setting where they perform to an acceptable level in comparison to RFBs [ 12 , 13 ] combined with the distinct advantage of a reduced risk of infection owing to their sterility [ 14 ]. Several studies have assessed their cost compared to RFBs [ 14 , 15 ] and a recent review that incorporated the cost of treating the exogenous infections that might be caused by RFBs found that SUFBs were significantly more cost-effective [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Single-Use (Disposable) Flexible Bronchoscopes: The Future of Bronchoscopy?

Barron

Kennedy

2020

Adv Ther

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The coronavirus disease (COVID-19) pandemic has highlighted the importance of reducing occupational exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The reprocessing procedure for reusable flexible bronchoscopes (RFBs) involves multiple episodes of handling of equipment that has been used during an aerosol-generating procedure and thus is a potential source of transmission. Single-use flexible bronchoscopes (SUFBs) eliminate this source. Additionally, RFBs pose a risk of nosocomial infection transmission between patients with the identification of human proteins, deoxyribonucleic acid (DNA) and pathogenic organisms on fully reprocessed bronchoscopes despite full adherence to the guidelines. Bronchoscopy units have been hugely impacted by the pandemic with restructuring of pre-and post-operative areas, altered patient protocols and the reassessment of air exchange and cleaning procedures. SUFBs can be incorporated into these protocols as a means of improving occupational safety. Most studies on the efficacy of SUFBs have occurred in an anaesthetic setting so it remains to be seen whether they will perform to an acceptable standard in complex respiratory procedures such as transbronchial biopsies and cryotherapy. Here, we outline their potential uses in a respiratory setting, both during and after the current pandemic.

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“…Previous research with a single-use bronchoscope, the Ambu aScope 4 Broncho, clearly demonstrated the positive organisational impact created by a single-use device, reducing the number of support processes needed to ensure the provision of a clean and ready-to-use bronchoscope. 13 Furthermore, the single-use bronchoscope has been proven to reduce the delay between the indication for bronchoscopy and the initiation of the actual procedure, while having a comparable environmental impact compared to reusable bronchoscopes. 14,15 Although there is limited published evidence to support the use of single-use rhinolaryngoscopes, it is likely that the benefits of single-use bronchoscopes will also apply to single-use rhinolaryngoscopes as the reprocessing procedure is similar.…”

Section: Introductionmentioning

confidence: 99%

The single-use rhinolaryngoscope: an evaluation and cost comparison

et al. 2020

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Background This study investigated whether the single-use rhinolaryngoscope is clinically and economically comparable to the conventional reusable rhinolaryngoscope within a tertiary otolaryngology centre in the UK. Methods A non-blinded, prospective and single-arm evaluation was carried out over a 5-day period, in which micro-costing was used to compare single-use rhinolaryngoscopes with reusable rhinolaryngoscopes. Results Overall, 68 per cent of the investigators perceived the single-use rhinolaryngoscope to be ‘good’ or ‘very good’, while 85 per cent believed the single-use rhinolaryngoscope could replace the reusable rhinolaryngoscope (n = 59). The incremental costs of reusable rhinolaryngoscope eyepieces and videoscopes in the out-patient clinic, when compared to single-use rhinolaryngoscopes, were £30 and £11, respectively. The incremental costs of reusable rhinolaryngoscope eyepieces and videoscopes in the acute surgical assessment unit, when compared to single-use rhinolaryngoscopes, were −£4 and −£73, respectively. Conclusion The single-use rhinolaryngoscope provides a clinically comparable, and potentially cost-minimising, alternative to the reusable rhinolaryngoscope for use in the acute surgical assessment unit of our hospital.

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

Cited by 30 publications

References 15 publications

Equipment and procedural setup for interventional pulmonology procedures in the intensive care unit

Equipment and procedural setup for interventional pulmonology procedures in the intensive care unit

Single-Use (Disposable) Flexible Bronchoscopes: The Future of Bronchoscopy?

The single-use rhinolaryngoscope: an evaluation and cost comparison

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