Reduced turnover times make flexible optical reusable scope with EndoSheath(R) Technology significantly cost-effective

摘要

EndoSheath bronchoscopy(Vision Sciences,Inc.) uses a sterile,disposable microbial barrier that may meet the growing needs for safe,efficient,and cost effective flexible bronchoscopy.The purpose of this open-label comparative study was to compare and calculate the costs-per-airway-procedure of the reusable fiberscope when used with and without EndoSheath Technology;and to record the turnover time from the completion of the use of each scope until its readiness again for the next use.Seventy-five new patients' airways requiring airway maneuvers and manipulations with Vision Sciences,Inc.,reusable fiberscope with EndoSheath Technology were evaluated for the costs comparisons with reassessed historical costs data for Olympus scope assisted tracheal intubations.As compared to costs of an intubation($158.50) with Olympus scope at our institute,the intubation costs with Vision Sciences,Inc.,reusable fiberscope with EndoSheath technology was $81.50(P < 0.001).The mean turnover time was 5.44 min with EndoSheath technology as compared to previously reported 30 min with Olympus fiberscope(P < 0.001).Based on our institutional experience,Vision Sciences,Inc.,reusable fiberscope with EndoSheath technology is significantly cost effective as compared to the Olympus scope with significantly improved turnover times.