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Percutaneous tracheostomy

CHALLENGE

Percutaneous tracheostomy is a procedure commonly performed in intensive care. Use of a bronchoscope during this procedure is recommended by several medical societies (1,2).
With a bronchoscope, it is possible to identify the incision point and to check the tube’s position during and at the end of the procedure. The Broncoflex® is always and immediately available, and therefor provides for the need of required verification during the procedure, without the risk of damaging a reusable endoscope.

THE IMPORTANCE OF ACCESS TO A BRONCHOSCOPE IN INTENSIVE CARE

The Broncoflex® is always ready, always sterile

Some medical societies recommend a videofibrescope on the list of equipment required for performing a tracheostomy (1, 2). In intensive care units, this type of equipment is not always readily available. In the event of non-elective difficult intubation, not having easy access to a bronchoscope is identified as being a cause of serious complications for the patient (3).

Retreatment time comparison

ALWAYS AVAILABLE

The Broncoflex® removes all need for disinfection, repair and maintenance of conventional bronchoscopes. It is always available and can be stored in your emergency trolley, ready for use, 24/24, 7/7.

ALWAYS STERILE

Having a sterile bronchoscope at hand in all circumstances reduces the risk of cross-contamination for patients and generates savings in terms of treatment and management.

MINIMISES THE RISK OF DAMAGE TO YOUR REUSABLE ENDOSCOPES

Fixed cost, Managed Budget

During the bronchoscopy-guided tracheostomy procedure, it is not uncommon for the endoscope to become damaged upon the removal of the device from the tracheostomy tube. In fact, without appropriate lubrication, the fibrescope insertion tube can become damaged and require repair (4).

7 262$

Average cost
of repair

1/167

Damage that needs
repairing is done every
167 procedures

43,65$

Cost of repair
per use

Data obtained from a cost study for a year’s reusable endoscope stock and 3,484 uses in a hospital 5.
The Broncoflex® can be used in procedures at high risk for the equipment. It prevents your reusable endoscopes from breaking as well as lengthy and costly repairs.
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Bibliography

1 - Société de Réanimation en Langue Française, trachéotomie en réanimation (2016)
2 - Madsen, Kristian & Guldager, Henrik & Rewers, Mikael & Weber, Sven-Olaf & Kobke-Jacobsen, Kurt & White, Jonathan. (2015). Danish Guidelines 2015 for Percutaneous Dilatational Tracheostomy in the Intensive Care Unit. Danish Medical Journal. 62.
3 - Cook, Timothy & Woodall, Nicholas & Harper, J & Benger, Jonathan. ``Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society.`` Part 2: Intensive Care and Emergency Departments. British journal of anaesthesia. 106. 632-42. (2011) 10.1093/bja/aer059.
4 - Febvre, Michel & Trosini-Désert, Valery & Atassi, K & Hermant, C & Colchen, A & Raspaud, C & Vergnon, Jean-Michel. (2007). Les bonnes pratiques de la bronchoscopie souple diagnostique, en 2007. Revue Des Maladies Respiratoires - REV MAL RESPIR. 24. 1363-1392. 10.1016/S0761-8425(07)78513-3.
5 - Young, B P; Shah, N; Barclay, K; Mehta, A C; Gildea, T., High Price Of Bronchoscopy - Cost Of Maintenance And Repair Of Flexible And UltrasoundBronchoscopes, American Journal of Respiratory and Critical Care Medicine; New York Vol. 191, (2015): 1.