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A single-centre case series assessing the Ambu(®) aScope™ 2 for percutaneous tracheostomies: A viable alternative to fibreoptic bronchoscopes

BACKGROUND: Bronchoscope-assisted bedside percutaneous tracheostomy is increasingly common in the intensive care unit (ICU). Fiberoptic bronchoscopes (FOBs) are expensive, fragile and may be damaged in the busy ICU environment. The Ambu(®) aScope™ 2 is a disposable video bronchoscope with no suction...

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Autores principales: Reynolds, Steven, Zurba, Jason, Duggan, Laura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pulsus Group Inc 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4467478/
https://www.ncbi.nlm.nih.gov/pubmed/26089738
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author Reynolds, Steven
Zurba, Jason
Duggan, Laura
author_facet Reynolds, Steven
Zurba, Jason
Duggan, Laura
author_sort Reynolds, Steven
collection PubMed
description BACKGROUND: Bronchoscope-assisted bedside percutaneous tracheostomy is increasingly common in the intensive care unit (ICU). Fiberoptic bronchoscopes (FOBs) are expensive, fragile and may be damaged in the busy ICU environment. The Ambu(®) aScope™ 2 is a disposable video bronchoscope with no suction port that may be an alternative. METHODS: The present analysis was a single-centre, prospective, quality improvement series substitution of Ambu(®) aScope™ 2 for FOB during percutaneous bedside tracheostomy with a FOB readily available. Physicians could elect not to use the Ambu(®) aScope™ 2. RESULTS: The Ambu® aScope™ 2 was used in 22 of 30 percutaneous bedside tracheostomies between September 9, 2012 and January 3, 2013. One conversion to an FOB occurred during the 22 procedures due to bleeding, resulting in a convfersion rate of approximately 5%. The rate of completion of the postprocedure questionnaire was 73% (16 of 22), with a mean ‘ease of use’ score of 8.19/10 (range 6/10 to 10/10) and a mean ‘visualization’ score of 6.1/10 (range 2/10 to 10/10). DISCUSSION/CONCLUSIONS: Ambu® aScope™ 2 was a reasonable alternative to FOB in a selected group of patients for bedside ICU PDT. Use of this new disposable scope will depend on local factors, processing delays and cost.
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spelling pubmed-44674782015-06-18 A single-centre case series assessing the Ambu(®) aScope™ 2 for percutaneous tracheostomies: A viable alternative to fibreoptic bronchoscopes Reynolds, Steven Zurba, Jason Duggan, Laura Can J Respir Ther Original Article BACKGROUND: Bronchoscope-assisted bedside percutaneous tracheostomy is increasingly common in the intensive care unit (ICU). Fiberoptic bronchoscopes (FOBs) are expensive, fragile and may be damaged in the busy ICU environment. The Ambu(®) aScope™ 2 is a disposable video bronchoscope with no suction port that may be an alternative. METHODS: The present analysis was a single-centre, prospective, quality improvement series substitution of Ambu(®) aScope™ 2 for FOB during percutaneous bedside tracheostomy with a FOB readily available. Physicians could elect not to use the Ambu(®) aScope™ 2. RESULTS: The Ambu® aScope™ 2 was used in 22 of 30 percutaneous bedside tracheostomies between September 9, 2012 and January 3, 2013. One conversion to an FOB occurred during the 22 procedures due to bleeding, resulting in a convfersion rate of approximately 5%. The rate of completion of the postprocedure questionnaire was 73% (16 of 22), with a mean ‘ease of use’ score of 8.19/10 (range 6/10 to 10/10) and a mean ‘visualization’ score of 6.1/10 (range 2/10 to 10/10). DISCUSSION/CONCLUSIONS: Ambu® aScope™ 2 was a reasonable alternative to FOB in a selected group of patients for bedside ICU PDT. Use of this new disposable scope will depend on local factors, processing delays and cost. Pulsus Group Inc 2015 /pmc/articles/PMC4467478/ /pubmed/26089738 Text en © 2015 Canadian Society of Respiratory Therapists. All rights reserved This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact support@pulsus.com
spellingShingle Original Article
Reynolds, Steven
Zurba, Jason
Duggan, Laura
A single-centre case series assessing the Ambu(®) aScope™ 2 for percutaneous tracheostomies: A viable alternative to fibreoptic bronchoscopes
title A single-centre case series assessing the Ambu(®) aScope™ 2 for percutaneous tracheostomies: A viable alternative to fibreoptic bronchoscopes
title_full A single-centre case series assessing the Ambu(®) aScope™ 2 for percutaneous tracheostomies: A viable alternative to fibreoptic bronchoscopes
title_fullStr A single-centre case series assessing the Ambu(®) aScope™ 2 for percutaneous tracheostomies: A viable alternative to fibreoptic bronchoscopes
title_full_unstemmed A single-centre case series assessing the Ambu(®) aScope™ 2 for percutaneous tracheostomies: A viable alternative to fibreoptic bronchoscopes
title_short A single-centre case series assessing the Ambu(®) aScope™ 2 for percutaneous tracheostomies: A viable alternative to fibreoptic bronchoscopes
title_sort single-centre case series assessing the ambu(®) ascope™ 2 for percutaneous tracheostomies: a viable alternative to fibreoptic bronchoscopes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4467478/
https://www.ncbi.nlm.nih.gov/pubmed/26089738
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