Gupta Deepak, Srirajakalidindi Arvind, Wang Hong
Department of Anesthesiology, Detroit Medical Center, Wayne State University, Detroit, MI 48201, USA.
J Biomed Res. 2012 Jul;26(4):241-7. doi: 10.7555/JBR.26.20120050. Epub 2012 Jul 8.
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.
EndoSheath支气管镜检查（视觉科学公司）使用一种无菌、一次性的微生物屏障，这可能满足对安全、高效且具成本效益的可弯曲支气管镜检查日益增长的需求。这项开放标签的对照研究的目的是比较并计算可重复使用纤维支气管镜在使用和不使用EndoSheath（®）技术时每次气道操作的成本；并记录从每次检查完成到再次准备好进行下一次检查的周转时间。对75例需要使用视觉科学公司带有EndoSheath（®）技术的可重复使用纤维支气管镜进行气道操作的新患者气道进行评估，以与奥林巴斯支气管镜辅助气管插管的重新评估历史成本数据进行成本比较。与我们机构使用奥林巴斯支气管镜进行插管的成本（158.50美元）相比，使用视觉科学公司带有EndoSheath技术的可重复使用纤维支气管镜进行插管的成本为81.50美元（P < 0.001）。使用EndoSheath技术时的平均周转时间为5.44分钟，而此前报道的奥林巴斯纤维支气管镜的周转时间为30分钟（P < 0.001）。根据我们机构的经验，与奥林巴斯支气管镜相比，视觉科学公司带有EndoSheath技术的可重复使用纤维支气管镜具有显著的成本效益，且周转时间显著缩短。
