Airway management

Single‐use vs. reusable flexible bronchoscopes for airway management and in critical care: a narrative review

AnaesthesiaPublished Narrative review

Study context

Population
Studies of flexible bronchoscopes for airway management or use in critical care52 studies
Comparison
Single-use vs reusable flexible bronchoscopes
Outcome
Safety, usability, cost-effectiveness and environmental impact
Methodological detailsqualitative synthesis, human or animal studies of any design, Searched MEDLINE, Embase and PubMed and manufacturer websites; data from six manufacturer websites included
  • Qualitative synthesis
  • Human or animal studies of any design
  • Searched MEDLINE, Embase and PubMed and manufacturer websites; data from six manufacturer websites included

Main finding

As reported in the abstract

  • Mixed evidence for safety; usability data showed significant heterogeneity
  • Neither single-use nor reusable appeared convincingly superior for safety or usability
  • Cost-effectiveness for each institution depends on rate of use per year and several other factors; risk of cross-contamination an advantage of single-use devices
  • Sufficient evidence on rate of bronchoscopy-induced infection in OR and critical care lacking
  • Single-use devices must be sterilised or incinerated after use; completely recyclable single-use models not currently available

Original publication

Single‐use vs. reusable flexible bronchoscopes for airway management and in critical care: a narrative review. Anaesthesia. Published 30 September 2024. doi:10.1111/anae.16430

Composed by AI from the published abstract and checked against it. How Briefs are made →

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