Bronchoscopist's perception of the quality of the single-use bronchoscope (Ambu aScope4 (TM)) in selected bronchoscopies: a multicenter study in 21 Spanish pulmonology services
Por:
Flandes, J, Giraldo-Cadavid, L, Alfayate, J, Fernandez-Navamuel, I, Agusti, C, Lucena, C, Rosell, A, Andreo, F, Centeno, C, Montero, C, Vidal, I, Garcia-Alfonso, L, Bango, A, Ariza, M, Gallego, R, Orta, M, Bello, S, Minchole, E, Torrego, A, Pajares, V, Gonzalez, H, Wanguemert, A, Perez-Izquierdo, J, Disdier, C, Sanchez, B, Cordovilla, R, Cascon, J, Cruz, A, Garcia-Lopez, J, Puente, L, Benedetti, P, Garcia-Gallo, C, Nuevo, G, Aguado, S, Partida, C, Diaz-Agero, P, Crespo, E, Pavon, M, Paez, F, Cases, E, Martinez, R, Briones, A, Fernandez, C, Serrano, C, Uribe-Hernandez, A and Robles, J
Publicada:
2 dic 2020
Ahead of Print:
2 dic 2020
Resumen:
Background The disposable bronchoscope is an excellent alternative to face the problem of SARS-CoV-2 and other cross infections, but the bronchoscopist's perception of its quality has not been evaluated. Methods To evaluate the quality of the Ambu-aScope4 disposable bronchoscope, we carried out a cross-sectional study in 21 Spanish pulmonology services. We use a standardized questionnaire completed by the bronchoscopists at the end of each bronchoscopy. The variables were described with absolute and relative frequencies, measures of central tendency and dispersion depending on their nature. The existence of learning curves was evaluated by CUSUM analysis. Results The most frequent indications in 300 included bronchoscopies was bronchial aspiration in 69.3% and the median duration of these was 9.1 min. The route of entry was nasal in 47.2% and oral in 34.1%. The average score for ease of use, image, and aspiration quality was 80/100. All the planned techniques were performed in 94.9% and the bronchoscopist was satisfied in 96.6% of the bronchoscopies. They highlighted the portability and immediacy of the aScope4TM to start the procedure in 99.3%, the possibility of taking and storing images in 99.3%. The CUSUM analysis showed average scores > 70/100 from the first procedure and from the 9th procedure more than 80% of the scores exceeded the 80/100 score. Conclusions The aScope4 (TM) scored well for ease of use, imaging, and aspiration. We found a learning curve with excellent scores from the 9th procedure. Bronchoscopists highlighted its portability, immediacy of use and the possibility of taking and storing images.
Filiaciones:
Flandes, J:
ISS FJD CIBERES, Univ Hosp Fdn Jimenez Diaz, Pneumol Serv, Bronchoscopy & Intervent Pulmonol Unit, Madrid, Spain
Giraldo-Cadavid, L:
Fdn Neumol Colombiana, Intervent Pulmonol, Bogota, DC, Colombia
Univ La Sabana, Bogota, DC, Colombia
Univ La Sabana, Sch Med, Dept Epidemiol & Biostat, Autonorte Bogota Km 7, La Caro, Chia, Colombia
Alfayate, J:
ISS FJD CIBERES, Univ Hosp Fdn Jimenez Diaz, Pneumol Serv, Bronchoscopy & Intervent Pulmonol Unit, Madrid, Spain
Fernandez-Navamuel, I:
ISS FJD CIBERES, Univ Hosp Fdn Jimenez Diaz, Pneumol Serv, Bronchoscopy & Intervent Pulmonol Unit, Madrid, Spain
Agusti, C:
Hosp Clin Univ, Pneumol Serv, Barcelona, Spain
Lucena, C:
Hosp Clin Univ, Pneumol Serv, Barcelona, Spain
Rosell, A:
Hosp Univ Bellvitge, Pneumol Serv, Barcelona, Spain
Andreo, F:
Hosp Badalona Germans Trias & Pujol, Pneumol Serv, Barcelona, Spain
Centeno, C:
Hosp Badalona Germans Trias & Pujol, Pneumol Serv, Barcelona, Spain
Montero, C:
Complexo Hosp Univ, Pulmonol Serv, La Coruna, Spain
Vidal, I:
Complexo Hosp Univ, Pulmonol Serv, La Coruna, Spain
Garcia-Alfonso, L:
Complexo Hosp Univ, Pulmonol Serv, La Coruna, Spain
Bango, A:
Cent Univ Hosp Asturias, Pneumol Serv, Oviedo Asturias, Spain
Ariza, M:
Cent Univ Hosp Asturias, Pneumol Serv, Oviedo Asturias, Spain
Gallego, R:
Hosp San Pedro de Alcantara, Pneumol Serv, Caceres, Spain
Orta, M:
Hosp San Pedro de Alcantara, Pneumol Serv, Caceres, Spain
Bello, S:
Miguel Servet Univ Hosp, Pneumol Serv, Zaragoza, Spain
Minchole, E:
Miguel Servet Univ Hosp, Pneumol Serv, Zaragoza, Spain
Torrego, A:
Hosp Santa Creu & Sant Pau, Pneumol Serv, Barcelona, Spain
Pajares, V:
Hosp Santa Creu & Sant Pau, Pneumol Serv, Barcelona, Spain
Gonzalez, H:
Univ Hosp Canary Isl, Pneumol Serv, Santa Cruz De Tenerife, Spain
Wanguemert, A:
Hosp San Juan Dios, Pneumol Serv, Santa Cruz De Tenerife, Spain
Perez-Izquierdo, J:
Galdakao Univ Hosp, Pneumol Serv, Bilbao Vizcaya, Spain
Disdier, C:
Hosp Clin Univ, Pneumol Serv, Valladolid, Spain
Sanchez, B:
Hosp Clin Univ, Pneumol Serv, Valladolid, Spain
Cordovilla, R:
Hosp San Juan Dios, Pneumol Serv, Santa Cruz De Tenerife, Spain
Cascon, J:
Univ Assistance Complex, Pneumol Serv, Salamanca, Spain
Cruz, A:
Univ Assistance Complex, Pneumol Serv, Salamanca, Spain
Garcia-Lopez, J:
Hosp Univ Gregorio Maranon, Pneumol Serv, Madrid, Spain
Puente, L:
Hosp Univ Gregorio Maranon, Pneumol Serv, Madrid, Spain
Benedetti, P:
Hosp Univ Gregorio Maranon, Pneumol Serv, Madrid, Spain
Garcia-Gallo, C:
Puerta de Hierro Univ Hosp, Pneumol Serv, Madrid, Spain
Nuevo, G:
Puerta de Hierro Univ Hosp, Pneumol Serv, Madrid, Spain
Aguado, S:
Puerta de Hierro Univ Hosp, Pneumol Serv, Madrid, Spain
Partida, C:
Hosp Univ La Paz, Thorac Surg Serv, Madrid, Spain
Diaz-Agero, P:
Hosp Univ La Paz, Thorac Surg Serv, Madrid, Spain
Crespo, E:
Virgen de Macarena Univ Hosp, Pneumol Serv, Seville, Spain
Pavon, M:
Virgen de Macarena Univ Hosp, Pneumol Serv, Seville, Spain
Paez, F:
Carlos Hay Reg Univ Hosp, Pneumol Serv, Malaga, Spain
Cases, E:
Hosp Univ & Politecn La Fe, Resp Endoscopy Unit, Valencia, Spain
Martinez, R:
Hosp Univ & Politecn La Fe, Resp Endoscopy Unit, Valencia, Spain
Briones, A:
Hosp Univ & Politecn La Fe, Resp Endoscopy Unit, Valencia, Spain
:
Gen Univ Hosp, Pneumol Serv, Alicante, Spain
:
Gen Univ Hosp, Pneumol Serv, Alicante, Spain
Uribe-Hernandez, A:
Fdn Neumol Colombiana, Bogota, DC, Colombia
Robles, J:
GHS SL, Ind Elect Engn, Madrid, Spain
Green Published, Green Submitted, gold
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