Question?

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cathy 

an excellent lubricant but..

The lubricant in lidocaine4% spray is petroleum based and endoscpe maker suggest it leads to deterioration of the covering of the endoscpes more quickly than non petroleum based lubricants.

tom Horam

> ----------
> From: 	trauma-list-bounces at trauma.org[SMTP:trauma-list-bounces at trauma.org] on behalf of Marc Matthews - MedPro MMC X[SMTP:Marc_Matthews at medprodoctors.com]
> Reply To: 	Trauma & Critical Care mailing list
> Sent: 	quarta-feira, 12 de março de 2008 19:28
> To: 	Trauma & Trauma &amp, Critical Care mailing list
> Subject: 	RE: Question?
> 
> 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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