Bronchoscopist's perception of the quality of the single-use bronchoscope (Ambu aScope4™) in selected bronchoscopies: a multicenter study in 21 Spanish pulmonology services

被引：17

作者：

Flandes, Javier ^{[1
]}

Fernando Giraldo-Cadavid, Luis ^{[2
,3
,26
]}

Alfayate, Javier ^{[1
]}

Fernandez-Navamuel, Iker ^{[1
]}

Agusti, Carlos ^{[4
]}

Lucena, Carmen M. ^{[4
]}

Rosell, Antoni ^{[5
]}

Andreo, Felipe ^{[6
]}

Centeno, Carmen ^{[6
]}

Montero, Carmen ^{[7
]}

Vidal, Iria ^{[7
]}

Garcia-Alfonso, Lucia ^{[7
]}

Bango, Antonio ^{[8
]}

Ariza, Miguel ^{[8
]}

Gallego, Rocio ^{[9
]}

Orta, Marta ^{[9
]}

Bello, Salvador ^{[10
]}

Minchole, Elisa ^{[10
]}

Torrego, Alfons ^{[11
]}

Pajares, Virginia ^{[11
]}

Gonzalez, Hector ^{[12
]}

Wanguemert, Aurelio Luis ^{[13
]}

Perez-Izquierdo, Julio ^{[14
]}

Disdier, Carlos ^{[15
]}

Sanchez, Blanca de Vega ^{[15
]}

Cordovilla, Rosa ^{[13
]}

Cascon, Juan ^{[16
]}

Cruz, Antonio ^{[16
]}

Garcia-Lopez, J. Javier ^{[17
]}

Puente, Luis ^{[17
]}

Benedetti, Paola ^{[17
]}

Garcia-Gallo, Cristina L. ^{[18
]}

Nuevo, Gema Diaz ^{[18
]}

Aguado, Silvia ^{[18
]}

Partida, Concepcion ^{[19
]}

Diaz-Agero, Prudencio ^{[19
]}

Crespo, Estefania Luque ^{[20
]}

Pavon, Maria ^{[20
]}

Paez, Francisco ^{[21
]}

Cases, Enrique ^{[22
]}

Martinez, Raquel ^{[22
]}

Briones, Andres ^{[22
]}

Fernandez, Cleofe ^{[23
]}

Serrano, Concepcion Martin ^{[23
]}

Uribe-Hernandez, Ana Maria ^{[24
]}

Robles, Jose ^{[25
]}

机构：

[1] ISS FJD CIBERES, Univ Hosp Fdn Jimenez Diaz, Pneumol Serv, Bronchoscopy & Intervent Pulmonol Unit, Madrid, Spain

[2] Fdn Neumol Colombiana, Intervent Pulmonol, Bogota, DC, Colombia

[3] Univ La Sabana, Bogota, DC, Colombia

[4] Hosp Clin Univ, Pneumol Serv, Barcelona, Spain

[5] Hosp Univ Bellvitge, Pneumol Serv, Barcelona, Spain

[6] Hosp Badalona Germans Trias & Pujol, Pneumol Serv, Barcelona, Spain

[7] Complexo Hosp Univ, Pulmonol Serv, La Coruna, Spain

[8] Cent Univ Hosp Asturias, Pneumol Serv, Oviedo Asturias, Spain

[9] Hosp San Pedro de Alcantara, Pneumol Serv, Caceres, Spain

[10] Miguel Servet Univ Hosp, Pneumol Serv, Zaragoza, Spain

[11] Hosp Santa Creu & Sant Pau, Pneumol Serv, Barcelona, Spain

[12] Univ Hosp Canary Isl, Pneumol Serv, Santa Cruz De Tenerife, Spain

[13] Hosp San Juan Dios, Pneumol Serv, Santa Cruz De Tenerife, Spain

[14] Galdakao Univ Hosp, Pneumol Serv, Bilbao Vizcaya, Spain

[15] Hosp Clin Univ, Pneumol Serv, Valladolid, Spain

[16] Univ Assistance Complex, Pneumol Serv, Salamanca, Spain

[17] Hosp Univ Gregorio Maranon, Pneumol Serv, Madrid, Spain

[18] Puerta de Hierro Univ Hosp, Pneumol Serv, Madrid, Spain

[19] Hosp Univ La Paz, Thorac Surg Serv, Madrid, Spain

[20] Virgen de Macarena Univ Hosp, Pneumol Serv, Seville, Spain

[21] Carlos Hay Reg Univ Hosp, Pneumol Serv, Malaga, Spain

[22] Hosp Univ & Politecn La Fe, Resp Endoscopy Unit, Valencia, Spain

[23] Gen Univ Hosp, Pneumol Serv, Alicante, Spain

[24] Fdn Neumol Colombiana, Bogota, DC, Colombia

[25] GHS SL, Ind Elect Engn, Madrid, Spain

[26] Univ La Sabana, Sch Med, Dept Epidemiol & Biostat, Autonorte Bogota Km 7, La Caro, Chia, Colombia

来源：

RESPIRATORY RESEARCH | 2020年 / 21卷 / 01期

关键词：

Bronchoscopy; Quality; CUSUM analysis; aScope4™ Bronchoalveolar lavage; INTUBATION; FIBERSCOPE; UNIT;

D O I：

10.1186/s12931-020-01576-w

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

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.

引用

页数：9

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