title: Reduced turnover times make flexible optical reusable scope with EndoSheath(®) Technology significantly cost-effective.
abstract: 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.
authors.affiliation: Department of Anesthesiology, Detroit Medical Center, Wayne State University, Detroit, MI 48201, USA.
authors.forename: Deepak
authors.initials: D
authors.lastname: Gupta
authors.forename: Arvind
authors.initials: A
authors.lastname: Srirajakalidindi
authors.forename: Hong
authors.initials: H
authors.lastname: Wang
keywords: EndoSheath® Technology; Olympus scope; intubation cost-analysis; turnover times
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