Cleaning Bronchoscope
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
LITFL
- 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
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC