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Life in the Fast Lane • LITFL • Medical Blog

Emergency medicine and critical care medical education blog

Critical Care Compendium | Cleaning Bronchoscope

Cleaning Bronchoscope

by Chris Nickson, Last updated May 17, 2016

The technique described uses the Matrix biofilm remover as a detergent.

Bedside Pre Clean

1. With endoscope still attached to the light source -> wipe scope from control head to tip.

2. Place distal tip in detergent solution & aspirate through suction channel –> depress and release suction button rapidly to promote debris dislodgment.

3. Continue aspiration until clean fluid is seen.

4. Remove the suction adaptor valve and place in the detergent solution.

5. Attach the suction cleaning adapter to the instrument channel port and place distal end into the detergent solution and depress the suction button for 30 seconds.

6. The endoscope should be removed from the light source and taken to the cleaning area.

7. Place scope into the allocated scope bucket.

References and Links

Lifeinthefastlane.com

  • CCC — Bronchoscope
  • CCC — Bronchoscopic Anatomy
  • Paul Young’s ICU Mind Maps — Bronchoscopy
  • Procedures — Bronchoscopy (with simulator)
  • Pulmonary Puzzle 005 — HIV, pneumonia and bronchoscopy
  • Pulmonary Puzzle 009 — Lung collapse, recruitment and bronchoscopy

Social Media and Web Resources

  • Bronchoscopy International

 

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About Chris Nickson

FCICM FACEM BSc(Hons) BHB MBChB MClinEpid(ClinTox) DipPaeds DTM&H GCertClinSim

Chris is an Intensivist at the Alfred ICU in Melbourne and is an Adjunct Clinical Associate Professor at Monash University. He is also the Innovation Lead for the Australian Centre for Health Innovation and the Chair of the Australian and New Zealand Intensive Care Society (ANZICS) Education Committee. He has a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia's Northern Territory, Perth and Melbourne. He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. He coordinates the Alfred ICU's education and simulation programmes and runs the unit’s education website, INTENSIVE. He created the 'Critically Ill Airway' course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of Lifeinthefastlane.com, the RAGE podcast, the Resuscitology course, and the SMACC conference. His one great achievement is being the father of two amazing children. On Twitter, he is @precordialthump.

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