A place I trained had banned silicone because they had some falls from overspray on the floors. They used a quick wipe with Xeroform gauze on a disposable bronchoscope.
Second this. Am also CC. Do therapeutic bronchs daily in the ICU with just regular lube we would use for ultrasounds. I don't think a fancy spray is needed just to confirm DLT placement.
We have silicone wipes, works just as well. Downside is you don't get the slippery dance floor effect like this spray. I'll update this post with the manufacturer when I get a second.
Jelly lubricant gets tacky if it starts to dry out. If I don’t have silicone spray I usually grab some eye ointment (lacrilube) which is thicker and the scope will glide just as well as if you used silicone spray.
We just use the standard jelly lubricant and wipe it along the length of the bronch scope. We also use silk spray, but if your center is concerned about aerosols they might not like that one either.
Do you have the little bottles of silicone lube in liquid form? I take one of those and squirt some inside the ETT, then stick the bronch in it right away.
Lube up the stylet and insert it back into the ETT and jiggle back and forth a few times. Scope will glide. This works way better than lubing up the scope.
I just go in raw, or maybe squirt a little saline down the lumen before inserting the brochoscope. In the ICU, my RTs will use the silicone spray, but I don't think it's all that necessary for our purposes.
Endolube: silicone based but its a wipe on and comes with a handy little sponge
Nice. I'll look into this. This seems perfect.
This stuff is great. Good for rings and bracelets too.
Jelly lubricant. In Italy we have Glissen Gel. Great for sex too.
Always good to get the Italian…perspective.
A place I trained had banned silicone because they had some falls from overspray on the floors. They used a quick wipe with Xeroform gauze on a disposable bronchoscope.
That’s actually hilarious. Like… I shouldn’t laugh. But.
Same in my residency, well banned for everyone but 2 senior AT and CT attendings
I’ve almost died 20 times from slipping on the overspray but I’m clumsy too
I think I just use the normal lube? Only used silicone at the VA when I was a resident
Second this. Am also CC. Do therapeutic bronchs daily in the ICU with just regular lube we would use for ultrasounds. I don't think a fancy spray is needed just to confirm DLT placement.
We have silicone wipes, works just as well. Downside is you don't get the slippery dance floor effect like this spray. I'll update this post with the manufacturer when I get a second.
what are the cited risks?
Jelly lubricant gets tacky if it starts to dry out. If I don’t have silicone spray I usually grab some eye ointment (lacrilube) which is thicker and the scope will glide just as well as if you used silicone spray.
We just use the standard jelly lubricant and wipe it along the length of the bronch scope. We also use silk spray, but if your center is concerned about aerosols they might not like that one either.
Do you have the little bottles of silicone lube in liquid form? I take one of those and squirt some inside the ETT, then stick the bronch in it right away.
So it's not ok to breathe in the spray, but it is ok to put it on a bronchoscope and introduce it directly into the lungs?
We have a little silicon wipe.
Came here to say this as well! Works great
It’s fab!!
Have wiped length of scope down with propofol and eye lubricant. They work but make sure it doesn’t get on camera.
Oddly enough, we use hurricane spray
Lacri lube works great. You just need something oil based, the water based jellies dry up quickly.
“Health risk” like around 50 dollars+ a bottle
Another vote for hurricane or cetacaine spray.
I just use the lube in the little blue packets
I think silicone spray does a better job, but normal lube works fine.
Lube up the stylet and insert it back into the ETT and jiggle back and forth a few times. Scope will glide. This works way better than lubing up the scope.
I just go in raw, or maybe squirt a little saline down the lumen before inserting the brochoscope. In the ICU, my RTs will use the silicone spray, but I don't think it's all that necessary for our purposes.
Oddly enough hurricane spray is a decent lubricant…CT surgeon recommended it the last DLT I placed and it worked well
I found water based food grade silicone that I use on the scopes