Question?

[rwolfer at aol.com]

Pam cooking spray or any equivalent. It is cheaper and works better.  If you can eat it , it must be safe


Rebecca Wolfer, MD, FACS, FCCP
Associate Professor, Marshall University School of Medicine
Dept of Surgery
Director Thoracic Surgery
Director, Surgical Critical Care Cabell Huntington Hospital
Director, Trauma Cabell Huntington Hospital


-----Original Message-----
From: Louis N. Molino, Sr. <LNMolino at aol.com>
To: Trauma &amp; Critical Care mailing list <trauma-list at trauma.org>
Sent: Wed, 12 Mar 2008 3:18 pm
Subject: Re: Question?



When I was at Texas A & M we had to remove the spray you refer to from our 
raining caches as it was considered a flammable liquid for air transport. The 
lternative we went to was ..... The leading OTC personal sexual lubricant. 
icture a state employee with a state Visa buying same by the case OTC at 
al-Mart! We later loaded the usual sized OTC units into personal spray bottles.
LNM 
ent via BlackBerry by AT&T
-----Original Message-----
rom: "Marc Matthews - MedPro MMC X" <Marc_Matthews at medprodoctors.com>
Date: Wed, 12 Mar 2008 11:50:51 
o:<trauma-list at trauma.org>
ubject: Question?

ll,

e had been using a silicone based lubricant when performing bronchoscopy on our 
dult ventilated patients. They eventually removed the silicone spray from the 
arket. I have found no other medical grade sprays that were equivalent. ETT 
izes are traditionally 7.5 to 8.0 but in adults can go down to 7.0, and yet the 
ronchoscope sticks, but with the silicone spray, the performance was much 
etter. As we subsequently lost the ability to use the silicone spray, we now 
se saline and/or Surgilube with inferior results in regards to technical 
erformance. The bronchoscopes are still sticking and there is more force 
nvolved than I want, like or need. This should be an elegant procedure done 
ith delicate movements.

o, Have others encountered this issue? What does everyone else use for a 
ubricant? Can anyone recommend something more than Saline or Surgilube? Are 
here medical grade brands of silicone lubricant out there that anyone uses? We 
ave Googled this topic and we have had no great success with finding a product 
hat is safe and effective.

 appreciate your time and advice.

incerely,

Marc R. Matthews, MD 
Arizona, USA 
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