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中华重症医学电子杂志 ›› 2024, Vol. 10 ›› Issue (01) : 1 -5. doi: 10.3877/cma.j.issn.2096-1537.2024.01.001

专家共识

ICU一次性软性支气管镜应用专家共识
北京医师协会重症医学专科医师分会, 北京医学会重症医学分会, 北京市重症医学质量控制和改进中心   
  • 收稿日期:2023-08-23 出版日期:2024-02-28

Expert consensus on the application of single-use flexible bronchoscopes in intensive care units

Beijing Association of Critical Care Physicians, Beijing Society of Critical Care Medicine, Beijing Center for Quality Control and Improvement of Critical Care Medicine   

  • Received:2023-08-23 Published:2024-02-28
引用本文:

北京医师协会重症医学专科医师分会, 北京医学会重症医学分会, 北京市重症医学质量控制和改进中心. ICU一次性软性支气管镜应用专家共识[J]. 中华重症医学电子杂志, 2024, 10(01): 1-5.

Beijing Association of Critical Care Physicians, Beijing Society of Critical Care Medicine, Beijing Center for Quality Control and Improvement of Critical Care Medicine. Expert consensus on the application of single-use flexible bronchoscopes in intensive care units[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2024, 10(01): 1-5.

软性支气管镜自20世纪60年代在临床应用以来,其迅速成为诊断和治疗气道和肺实质疾病至关重要的方法,并在支气管镜检查室和ICU得以广泛应用。2009年,一次性软性支气管镜(single-use flexible bronchoscopes,SUFB)开始应用于困难气道气管插管。10余年来,SUFB的图像质量、可操作性及功能不断改进,与可重复使用软性支气管镜(reusable flexible bronchoscopes,RFB)相比,其性能和成本均达到可接受的水平,并极大地减少了支气管镜检查相关的交叉感染,显著提高了患者的安全性,且便于携带、易于获取,在紧急情况下可立即使用,使用后不需再处理,降低了清洁和存储成本。SUFB已经在ICU、手术室、支气管镜室等环境中不断应用,尤其在新型冠状病毒感染(corona virus disease 2019,COVID-19)大流行初期,考虑到使用RFB存在病毒传播风险,SUFB受到重视,包括美国支气管病学和介入肺病学会(American Association for Bronchology and Interventional Pulmonology,AABIP)、西班牙肺病学和胸外科学会(Spanish Society of Pneumology and Thoracic Surgery,SEPAR)和阿根廷支气管病学会(Argentine Society of Bronchchiopathy,AABE)等均推荐SUFB在已知或疑似感染严重急性呼吸综合征冠状病毒2(severe acute respiratory syndrome coronavirus 2,SARS-CoV-2)的患者中使用。

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