Question?

[cathy armstrong]

didnt realise it could wreck the scope, thanks for info

On Thu, Mar 13, 2008 at 2:11 PM, Thomas Anthony Horan <thoran at sarah.br>
wrote:

> 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 &amp; Critical Care mailing list
> > Sent:         quarta-feira, 12 de março de 2008 19:28
> > To:   Trauma &amp; 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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