Table 3.
Evidence of efficacy of single-use flexible bronchoscopes
| Setting | Elective surgery | ENT surgery | Sample collection for research |
|---|---|---|---|
| Comparison | Ambu®aScope™2 vs Karl Storz fibrescope | Ambu®aScope vs conventional videoscope | Ambu®aScope vs conventional scope |
| Intervention | Orotracheal intubation in anaesthetised patients | Tracheal intubation in awake patients | BAL collection for research purposes in healthy volunteers |
| Nature of study |
60 patients randomised to either group Operators familiar with both devices |
Pilot study in 20 anaesthetised patients with normal airways Random assignment to either group of 40 awake patients with predicted difficult airways |
SUFB used for RML BAL in 10 volunteers vs BAL with conventional scope in 50 volunteers |
| Outcome | No difference in GRS between devices | Clinically acceptable—two instances of blurred image after lidocaine injection—new SUFBs deployed |
Greater sample volumes in SUFB group No difference in cell yield or viability |
| Reference | [12] | [13] | [33] |
GRS Global Rating Scale (a validated score for benchmarking operators who perform clinical bronchoscopy), BAL bronchoalveolar lavage, RML right middle lobe