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Wed Mar 12 18:50:51 GMT 2008

All,

We had been using a silicone based lubricant when performing bronchoscopy on our adult ventilated patients. They eventually removed the silicone spray from the market. I have found no other medical grade sprays that were equivalent. ETT sizes are traditionally 7.5 to 8.0 but in adults can go down to 7.0, and yet the bronchoscope sticks, but with the silicone spray, the performance was much better. As we subsequently lost the ability to use the silicone spray, we now use saline and/or Surgilube with inferior results in regards to technical performance. The bronchoscopes are still sticking and there is more force involved than I want, like or need. This should be an elegant procedure done with delicate movements.

So, Have others encountered this issue? What does everyone else use for a lubricant? Can anyone recommend something more than Saline or Surgilube? Are there medical grade brands of silicone lubricant out there that anyone uses? We have Googled this topic and we have had no great success with finding a product that is safe and effective.

I appreciate your time and advice.

Sincerely,

Marc R. Matthews, MD 

Arizona, USA 

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