Bronchoscopist's perception of the quality of the single-use bronchoscope (AmbuaScope4™) in selected bronchoscopies: a multicenter study in 21 Spanish pulmonology services
Flandes, Javier; Giraldo-Cadavid, Luis Fernando; Alfayate, Javier; Fernández-Navamuel, Iker; Agusti, Carlos; Lucena, Carmen M; Rosell, Antoni; Andreo, Felipe; Centeno, Carmen; Montero Martínez, Carmen; VIDAL GARCIA, IRIA; Garcia Alfonso, Lucia; Bango, Antonio; Ariza, Miguel; Gallego, Rocío; Orta, Marta; Bello, Salvador; Mincholé, Elisa; Torrego, Alfons; Pajares, Virginia; González, Héctor; Wangüemert, Aurelio Luis; Pérez-Izquierdo, Julio; Disdier, Carlos; de Vega Sanchez, Blanca; Cordovilla, Rosa; Cascón, Juan; Cruz, Antonio; García-López, J Javier; Puente, Luis; Benedetti, Paola; García-Gallo, Cristina L; Díaz Nuevo, Gema; Aguado, Silvia; Partida, Concepción; Díaz-Agero, Prudencio; Luque Crespo, Estefanía; Pavón, María; Páez, Francisco; Cases, Enrique; Martínez, Raquel; Briones, Andrés; Fernández, Cleofe; Martín Serrano, Concepción; Uribe-Hernández, Ana Maria; Robles, Jose
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Type of content
DeCSlavado broncoalveolar | estudios prospectivos | curva de aprendizaje | humanos | diseño de equipos | encuestas sobre asistencia sanitaria | estudios transversales | broncoscopia | competencia clínica
MeSHHumans | Bronchoscopy | Learning Curve | Cross-Sectional Studies | Bronchoalveolar Lavage | Equipment Design | Prospective Studies | Clinical Competence | Health Care Surveys
BACKGROUND: The disposable bronchoscope is an excellent alternative to face the problem of SARS-CoV-2 and other cross infections, but the bronchoscopist's perception of its quality has not been evaluated. METHODS: To evaluate the quality of the Ambu-aScope4 disposable bronchoscope, we carried out a cross-sectional study in 21 Spanish pulmonology services. We use a standardized questionnaire completed by the bronchoscopists at the end of each bronchoscopy. The variables were described with absolute and relative frequencies, measures of central tendency and dispersion depending on their nature. The existence of learning curves was evaluated by CUSUM analysis. RESULTS: The most frequent indications in 300 included bronchoscopies was bronchial aspiration in 69.3% and the median duration of these was 9.1 min. The route of entry was nasal in 47.2% and oral in 34.1%. The average score for ease of use, image, and aspiration quality was 80/100. All the planned techniques were performed in 94.9% and the bronchoscopist was satisfied in 96.6% of the bronchoscopies. They highlighted the portability and immediacy of the aScope4TM to start the procedure in 99.3%, the possibility of taking and storing images in 99.3%. The CUSUM analysis showed average scores > 70/100 from the first procedure and from the 9th procedure more than 80% of the scores exceeded the 80/100 score. CONCLUSIONS: The aScope4 scored well for ease of use, imaging, and aspiration. We found a learning curve with excellent scores from the 9th procedure. Bronchoscopists highlighted its portability, immediacy of use and the possibility of taking and storing images.