Single-use flexible bronchoscopes vs traditional reusable flexible bronchoscopes: a prospective controlled study

BMC Pulmonary Medicine

Research

Jianming Liu¹  Lijun Zou¹  Shuzhen He¹  Lihua Xie¹ 

[1] Department of Pulmonary and Critical Care Medicine, The Third Xiangya Hospital of Central South University, Changsha, China;

关键词: Single use bronchoscopes;    Traditional reusable bronchoscopes;    Bronchoalveolar Lavage;    Bronchoscope biopsy;   

DOI  :  10.1186/s12890-023-02478-5

 received in 2023-01-15, accepted in 2023-05-15,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSingle-use flexible bronchoscopes(SFB) eliminate the risk of bronchoscopy-related infection compared with traditional reusable flexible bronchoscopes(RFB). At present, there is no comparative study between SFB and RFB in the aspects of biopsy and interventional therapy. This study aims to explore whether SFB can perform complex bronchoscopic procedures such as transbronchial biopsies just like RFB.MethodsWe conducted a prospective controlled study. A total of 45 patients who required bronchoscopic biopsy in our hospital from June 2022 to December 2022 were enrolled. The patients were divided into the SFB group and the RFB group, and routine bronchoscopy, bronchoalveolar lavage, and biopsy were performed respectively. Data on the time of routine bronchoscopy, the recovery rate of bronchoalveolar lavage fluid(BALF), biopsy time, and bleeding volume were collected. Then we used the two-sample t-test and the χ2 test to assess the performance differences between SFB and RFB. We also designed a questionnaire to compare the performance between SFB and RFB by different bronchoscope operators.ResultsThe routine examination time of SFB and RFB was 3.40 ± 0.50 min and 3.55 ± 0.42 min, respectively. There was no significant difference between the two groups (P = 0.308). The recovery rate of BALF was (46.56 ± 8.22) % in the SFB group and (47.00 ± 8.07) in the RFB group, without a significant difference between the two groups(P = 0.863). The biopsy time was similar(4.67 ± 0.51 min VS 4.57 ± 0.45 min) in both groups, with no significant difference(P = 0.512). The positive biopsy rate was 100% in both groups, with no significant difference. Overall, the bronchoscope operators were generally satisfied with SFB.ConclusionSFBs are non-inferior to RFBs in routine bronchoscopy, bronchoalveolar lavage, and biopsy. It is suggested that SFBs have a wider clinical application.

【 授权许可】

CC BY   
© The Author(s) 2023

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Fig. 1