Bedside bronchoscopy procedures
In most ICUs bedside bronchoscopy procedures, such as bronchoalveolar lavage (BAL) or bronchial wash (BW),are routine procedures performed by the intensivist or other airway specialist. The cytology samples and cultures obtained during the procedure help tailor the correct treatment of the patient.1
Clinical evaluation by Suveer Singh:
Quicker, easier and more effective bronchial fluid sampling with aScope BronchoSampler
In his whitepaper, Suveer Singh, Adult Intensive Care Unit and Respiratory Medicine Consultant at Royal Brompton and Chelsea and Westminster hospitals, evaluates Ambu aScope BronchoSampler against standard sampling techniques in the ICU setting.
Ambu aScope BronchoSampler was shown to significantly reduce the time needed to prepare for bronchial fluid sampling and be much easier to assemble and use. In 95% of the cases, it was also agreed that the system reduced the risk of losing or contaminating the sample.
All ICUs should have 24-hour bronchoscopy service
Critically ill patients on mechanical ventilation face a number of risks during ICU hospitalization, and ventilator-associated pneumonia (VAP) being one of the most common. It is estimated that up to 28% of intubated patients requiring mechanical ventilation will develop VAP.
Given the severe consequences associated with VAP, it is critical that a timely and accurate diagnosis is made. Bronchoscopy with bronchoalveolar lavage (BAL) is an excellent tool for making the diagnosis.
Bronchoscopy should never delay antimicrobial therapy, particularly in ICU settings. It is therefore crucial that a bronchoscope is immediately available at all times.2
Always Sterile. Always available.
The aScope 4 Broncho is a single-use flexible bronchoscope ideal for a wide range of bronchoscopy procedures in the ICU. Delivered sterile, aScope 4 Broncho eliminates the risk of cross-contamination.
The portable plug and play system is easy to transport and set up. It is ready for use in no time and enables that the patient can be treated immediately when needed without having to wait for a clean bronchoscopy or an airway specialist to arrive.
You need an immediately-available bronchoscope
Think about it — do you always have immediate access to a flexible bronchoscope when you need it during your workday? And is it any different at night and on the weekends?
In many ICUs the standard practice has been to request a bronchoscope tower and then wait. But, every minute counts. The wait could be 30 minutes or it could be several hours. Complications are compounded by staffing availability issues. Who will be available at just the right time when the scope is ready?
Bronchoscopy should fit your schedule
Scheduling today vs. scheduling with aScope 4 Broncho
Imagine you want to do four bronchoscopies today. Could you fit them all in? Are you guaranteed a scope at the time you will need it and have the staff ready? What’s the turnaround on getting a clean scope? If you have to wait until tomorrow, what consequences will delaying treatment have on your patients?
Scheduling with aScope 4 Broncho
Now imagine you can schedule the bronchoscopies whenever you need to. Your bronchoscope system can be set up in seconds. You have the ability to do all the procedures first thing in the morning or push them until later. Even if later is 2 am, you can always perform a bronchoscopy.
Can a single-use bronchoscope perform as well as a reusable one?
According to over 50 studies and an evaluation by two independent, experienced clinicians, the answer is yes. The Ambu aScope single-use bronchosocopy solution was assessed as easy to use and performed at a 100% success rate for BAL and BW in invasively ventilated critically ill patients.2
Advance to major
(BAL and BW)
Experience with Ambu aScope
A. Ernst, Introduction to Bronchoscopy, Chapter 9, pp. 85-96, Carla Lamb, Bronchial washing, bronchioalveolar lavage, bronchial brush, and endobronchial biopsi, Cambridge Medicine, 2009
A. Ernst, Introduction to Bronchoscopy, Chapter 12, Jed A. Gorden, Bronchoscopy in the Intensive Care Unit, pp. 115-123, Cambridge Medicine, 2009
McGrath AB, et al. Evaluating the Ambu aScope 3 system for bronch-alveolar lavage and bronchial wash in invasively ventilated patients. 2013, 26th ESCIM Annual Congress, Paris; 2013.