Question?

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Cathy,
 
Good tip! This sounds like something we should be trying.
 
MRM

________________________________

From: trauma-list-bounces at trauma.org on behalf of cathy armstrong
Sent: Wed 3/12/2008 1:31 PM
To: Trauma &amp, Critical Care mailing list
Subject: Re: Question?



I use a lignocaine /lidocaine4% spray,
it is a great lub plus I think less irritant for patient ,never really saw
it written up but it is real slippy on the broncscope.
watch dont spray on floor by misdirection as everyone will be slipping
around ICU!
CA

On Wed, Mar 12, 2008 at 6:50 PM, Marc Matthews - MedPro MMC X <
Marc_Matthews at medprodoctors.com> wrote:

> 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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