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Published on: March 18, 2020
Infection control practices of laryngoscope blades: a review of the literature
1University of North Florida, Jacksonville, Florida, USA. meldawn2@hotmail.com
Abstract:
Current procedures for cleaning anesthesia airway equipment as assessed by the presence of visible and occult blood on laryngoscope blades and handles as labeled "ready for patient use" has been reported to be ineffective. Human immunodeficiency virus (HIV) and the hepatitis B virus (HBV) are 2 commonly seen pathogens that frequently are found in the healthcare setting. It has been shown that HBV can survive on a dry surface for at least 7 days and both HIV and HBV are transmitted via blood. The potential for cross-contamination from airway equipment to patient has been shown in several studies. To prevent further potential infections, it should be ascertained why anesthesia providers are not all using disposable laryngoscope blades. The purpose of this literature review is to determine the use and infection control practices of disposable laryngoscope blades. Their frequency of use, their evaluation of ease of use, and any complications encountered when using the disposable blade are reviewed, as well as the perceptions of anesthesia providers regarding disposable laryngoscope blades.
Insights
Disposable laryngoscope blades can improve patient safety by reducing the risk of transmitting infections like HIV and HBV. This review examines their use and anesthesia providers' perceptions to enhance infection control practices.
Area of Science:
- Anesthesiology
- Infection Control
- Medical Device Safety
Background:
- Current cleaning methods for anesthesia airway equipment are ineffective, with blood often present on reusable laryngoscope blades.
- Human immunodeficiency virus (HIV) and hepatitis B virus (HBV) are bloodborne pathogens posing a significant risk in healthcare settings.
- Hepatitis B virus (HBV) can survive on dry surfaces for over 7 days, increasing cross-contamination risks from airway equipment.
Purpose of the Study:
- To determine the utilization and infection control practices associated with disposable laryngoscope blades.
- To review the frequency of use, ease of use, and any complications related to disposable laryngoscope blades.
- To understand anesthesia providers' perceptions regarding the use of disposable laryngoscope blades.
Main Methods:
- Literature review of studies on disposable laryngoscope blade usage.
- Analysis of infection control protocols and their effectiveness.
- Examination of anesthesia provider feedback and experiences.
Main Results:
- Disposable laryngoscope blades offer a potential solution to reduce cross-contamination risks.
- Studies indicate a need to understand barriers to the adoption of disposable blades.
- Anesthesia provider perceptions on usability and complications are crucial for implementation.
Conclusions:
- Widespread adoption of disposable laryngoscope blades is recommended to enhance patient safety.
- Further research is needed to address anesthesia providers' concerns and optimize the use of disposable blades.
- Implementing disposable laryngoscopes is a key strategy to prevent healthcare-associated infections.
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