The technique described uses the Matrix biofilm remover as a detergent.
Bedside Pre Clean
- With endoscope still attached to the light source -> wipe scope from control head to tip.
- Place distal tip in detergent solution & aspirate through suction channel –> depress and release suction button rapidly to promote debris dislodgement.
- Continue aspiration until clean fluid is seen.
- Remove the suction adaptor valve and place in the detergent solution.
- 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.
- The endoscope should be removed from the light source and taken to the cleaning area.
- Place scope into the allocated scope bucket.
References and Links
- CCC — Bronchoscopic Anatomy
- Paul Young’s ICU Mind Maps — Bronchoscopy
- Pulmonary Puzzle 005 — HIV, pneumonia and bronchoscopy
- Pulmonary Puzzle 009 — Lung collapse, recruitment and bronchoscopy
Social Media and Web Resources
Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with 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 completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.
He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. 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 litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.
His one great achievement is being the father of three amazing children.
On Twitter, he is @precordialthump.
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