J Yeung: 7/11/17

Bronchoscopy

For more information refer to the Ambu aScope User Guide  and QuickGuide Bedside Bronchoscopy.
Bendigo ICU has single-use scopes for all bronchoscopy (Ambu®aScope 3).  There are three sizes, Slim (3.8/1.2), Regular (5.0/2.2) and Large (5.8/2.8). (External diameter (mm)/Channel width (mm)).  The monitor has an internal battery with minimum ​3 hour continuous running time when fully charged.
Uses: 
How to use - quick tips:
  • Connect blue arrow on scope to blue port on monitor.
  • Turn on – hold on/off button on top right of monitor for one second.  The device will be ready for use in around one minute.
  • Turn off – hold on/off button for two seconds.
  • White-balance is not required.
  • When using lubricant, use gauze to smear along the length of scope, to prevent smearing on the camera.  It should not fog due to the heat of the lamp.
Recording images:
Tip: Take a still photo of the patient’s BRADMA label either before or after bronchoscopy for easier identification of the images.
​Still photos:
  • Press camera icon on the screen – icon will turn red then returns to blue
  • Still images can be taken whilst video is being recorded.

Video:
  • Press the video camera icon on the screen – icon turns red on recording, press again to stop recording and icon returns to blue
  • Do not double click on the screen image whilst recording (‘Image extend’), as this will terminate the recording and commence a new one.
Viewing images:
  • Yellow tab for file management
  • Saved under ‘All Users’ – a new folder is automatically created when device turned on and all images will be saved to that folder.
  • Folders and files are named and ordered by numbers in chronological order
  • Images can be transferred to a USB.
Cleaning the monitor:
  • Use V-wipes to clean the monitor and cords. 
  • To prevent moisture entering the monitor ports, ensure that the wipe is not too wet and use a dry cloth/towel to remove any excessive moisture after wiping.
Where to find the equipment in ICU:
  • The monitor is found in the General Equipment store beside the transport monitors.
  • The scopes are in the respiratory equipment store along the corridor with the consultant offices.
Other useful resources: