Abstract：
OBJECTIVE: The purpose of this project was to develop a novel airway-exchange broncholaryngoscope (AEBLScope) to improve the efficiency and accuracy of airway-exchange procedures.
METHODS: The AEBLScope was designed to combine a bronchoscope and airway-exchange catheter (AEC) into a single device and to reduce the blind placement of AECs. The prototype was constructed by modifying an existing distal-chip bronchoscope. A custom AEC was procured to fit concentrically over the flexible portion of the scope. The catheter was connected to the scope handpiece by a customized push-pull locking attachment. The AEBLScope was used to perform airway-exchange procedures with both tracheostomy and endotracheal tubes using two different airway models. Experimental procedures were recorded with still photography to evaluate the exchange of tubes and placement of AECs.
RESULTS: In two airway models using the AEBLScope, both tracheostomy and endotracheal tubes were successfully exchanged on first-pass attempt, and AECs were accurately placed under visual guidance.
CONCLUSIONS: The AEBLScope combines a bronchoscope and AEC into a single tool. Based on these first results, this novel scope has the potential to perform airway-exchange procedures more safely compared with standard procedures by increasing the accuracy of placement, decreasing procedural time, and reducing the morbidity and mortality that can occur from blind placement of AECs.
METHODS: N/A Laryngoscope, 2024.
METHODS: The AEBLScope was designed to combine a bronchoscope and airway-exchange catheter (AEC) into a single device and to reduce the blind placement of AECs. The prototype was constructed by modifying an existing distal-chip bronchoscope. A custom AEC was procured to fit concentrically over the flexible portion of the scope. The catheter was connected to the scope handpiece by a customized push-pull locking attachment. The AEBLScope was used to perform airway-exchange procedures with both tracheostomy and endotracheal tubes using two different airway models. Experimental procedures were recorded with still photography to evaluate the exchange of tubes and placement of AECs.
RESULTS: In two airway models using the AEBLScope, both tracheostomy and endotracheal tubes were successfully exchanged on first-pass attempt, and AECs were accurately placed under visual guidance.
CONCLUSIONS: The AEBLScope combines a bronchoscope and AEC into a single tool. Based on these first results, this novel scope has the potential to perform airway-exchange procedures more safely compared with standard procedures by increasing the accuracy of placement, decreasing procedural time, and reducing the morbidity and mortality that can occur from blind placement of AECs.
METHODS: N/A Laryngoscope, 2024.
摘要：
目的：该项目的目的是开发一种新型的气道交换性支气管胆道镜（AEBLScope），以提高气道交换程序的效率和准确性。
方法：AEBLScope旨在将支气管镜和气道交换导管（AEC）结合到单个设备中，并减少AEC的盲目放置。该原型是通过修改现有的远端芯片支气管镜而构建的。采购了定制的AEC以同心地安装在示波器的柔性部分上。导管通过定制的推拉锁定附件连接到内窥镜手持件。AEBLScope用于使用两种不同的气道模型进行气管造口术和气管内导管的气道交换程序。用静止摄影记录实验程序以评估管的交换和AECs的放置。
结果：在使用AEBLScope的两个气道模型中，气管造口术和气管内导管在首次通过尝试时都成功交换，和AECs被准确地放置在视觉指导下。
结论：AEBLScope将支气管镜和AEC组合为一个工具。基于这些最初的结果，与标准程序相比，这种新颖的范围有可能通过提高放置的准确性来更安全地执行气道交换程序。减少程序时间，并降低盲目放置AECs可能导致的发病率和死亡率。
方法：N/A喉镜，2024.
方法：AEBLScope旨在将支气管镜和气道交换导管（AEC）结合到单个设备中，并减少AEC的盲目放置。该原型是通过修改现有的远端芯片支气管镜而构建的。采购了定制的AEC以同心地安装在示波器的柔性部分上。导管通过定制的推拉锁定附件连接到内窥镜手持件。AEBLScope用于使用两种不同的气道模型进行气管造口术和气管内导管的气道交换程序。用静止摄影记录实验程序以评估管的交换和AECs的放置。
结果：在使用AEBLScope的两个气道模型中，气管造口术和气管内导管在首次通过尝试时都成功交换，和AECs被准确地放置在视觉指导下。
结论：AEBLScope将支气管镜和AEC组合为一个工具。基于这些最初的结果，与标准程序相比，这种新颖的范围有可能通过提高放置的准确性来更安全地执行气道交换程序。减少程序时间，并降低盲目放置AECs可能导致的发病率和死亡率。
方法：N/A喉镜，2024.
