Published in:
Open Access
01-12-2020 | Letter
With the current COVID pandemic: should we use single-use flexible bronchoscopes instead of conventional bronchoscopes?
Authors:
Patrick M. Honore, Aude Mugisha, Luc Kugener, Sebastien Redant, Rachid Attou, Andrea Gallerani, David De Bels
Published in:
Critical Care
|
Issue 1/2020
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Excerpt
We would like to describe the numerous advantages of single-use bronchoscopes over conventional bronchoscopes especially during the COVID pandemic. Recently, Zaidi et al. did a comparative study between single-use and conventional bronchoscopes for bronchoalveolar lavage (BAL) [
1]. They concluded that with single-use bronchoscopes, they achieved a larger BAL volume yield than conventional bronchoscopes, with comparable cell yield and viability [
1]. Better volume yields may potentially reduce post-procedure side effects such as pleuritic chest pain and cough. With single-use devices, the risk of cross infection is eliminated, providing reassurance to researchers and participants [
2]. This single-use flexible bronchoscope can be reusable for the same patient and should be stored in his isolate room [
2]. Reduced maintenance requirements can be cost effective [
3]. In addition, single-use flexible bronchoscopes have been evaluated in the critical care setting with favorable results for BAL, percutaneous tracheostomy, intubation, and suction [
4]. Regarding the important question of cost, a recent study suggests benefits from the use of single-use flexible bronchoscopes in terms of cost effectiveness, cross-contamination, and resource utilization [
3]. Single-use flexible bronchoscopes could be very useful in the setting of the current coronavirus pandemic. We have already started using them. …