Question?

[Thomas Anthony Horan]

Dear Cathy,

it is a question really of relative risk. Ascope used under local or thru a large port such as laryngeal mask big trach etc should have a simple non petroleum based lubricant, but if you are confronted by a narrow long endotracheal tube and the scope gets stuck then the acute damage to the endoscope cover may be greater than any risk from the Xylocaine spray. So I use it selectively

Tom

> ----------
> From: 	trauma-list-bounces at trauma.org[SMTP:trauma-list-bounces at trauma.org] on behalf of cathy armstrong[SMTP:cathyarmstrong1 at googlemail.com]
> Reply To: 	Trauma & Critical Care mailing list
> Sent: 	quinta-feira, 13 de março de 2008 17:15
> To: 	Trauma &amp, Critical Care mailing list
> Subject: 	Re: Question?
> 
> 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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