Question?

[Marc Matthews - MedPro MMC X]

Sorry, if this is too elemental for this list, however, I am being asked repeatedly by residents, RT's and attending staff and well here we are. 
 
I truly do appreciate any recommendations.
 
MRM

________________________________

From: trauma-list-bounces at trauma.org on behalf of Charlene M Morris
Sent: Wed 3/12/2008 2:46 PM
To: Trauma &amp, Critical Care mailing list
Subject: Re: Question?



I actually pondered this today and wondered if Astroglide would be
acceptable. So as not to appear an idiot :-/ I am scribing this off-list.
Charlene


On 3/12/08, 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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