The laryngoscope is identified as a potential vector for cross-infection. Case reports are presented, as are reports of bacterial and occult blood contamination of laryngoscope blades and handles. Infection control policies covering laryngoscope blade and handle processing are outlined relative to procedures of a teaching hospital department. Repeated decontamination of laryngoscope blades has resulted in a perceived decrease in reliability. This is reflected in a departmental survey where 86% of respondents consider the standard laryngoscope is only intermittently reliable and that there is room for improvement.
MacintoshR.R.A new laryngoscope.Lancet1943; 1: 205.
2.
DorschJ.A., DorschS.E.Understanding Anaesthesia Equipment.Williams and Williams Co1999; 16: 505.
3.
FowerakerJ.E.The laryngoscope as a potential source of cross-infection.J Hosp Infect1995; 29: 315–316.
4.
NealT.J., HughesC.R., RothburnM.M., ShawN.J.The neonatal laryngoscope as a source of cross-infection.J Hosp Infect1995; 30: 315–317.
5.
NelsonK.E., WarrenD., TomasiA.M., RajuT.N., VidiasagarD.Transmission of neonatal listeriosis in a delivery room.Am J Dis Children1985; 139: 903–905.
6.
BeamerJ.E.R., CoxR.A.MRSA contamination of a laryngoscope blade: a potential vector for cross infection.Anaesthesia1999; 54: 1010–1011.
7.
SimmonsS.A.Laryngoscope handles: A potential for infection.J Am Assoc Nurse Anaesth2000; 68: 233–236.
8.
MorellR.C., RirieD., JamesR.L., CrewsD.A., HuffstetlerK.A survey of laryngoscope contamination at a university and a community hospital.Anesthesiology1994; 80: 960.
9.
PhillipsR.A., MonaghanW.P.Incidence of visible and occult blood on laryngoscope blades and handles.J Am Assoc Nurse Anaesth1997; 65: 241–246.
10.
MillerD.M., YoukhanaI., KarunaratneW.U., PearceA.Presence of protein deposits on “cleaned” re-usable anaesthetic equipment.Anaesthesia2001; 56: 1069–1072.
11.
WHO Infection Control Guidelines for Transmissible Spongi-form Encephalopathies. Report of a WHO Consultation. Geneva, Switzerland, 23–26 March 1999.
12.
EslerM.D., BainesL.C., WilkinsonD.J., LangfordR.M.Decontamination of laryngoscopes: a survey of national practice.Anaesthesia1999; 54: 582–598.
13.
Infection Control Policy. NSW Health Department, File No 01/336, Circular No 2002/45, 11 April 2002, Section 9.
14.
Policy on Infection Control in Anaesthesia.Australian and New Zealand College of Anaesthetists1995, Policy 28.
15.
Infection Control in Anaesthesia.Published by The Association of Anaesthetists of Great Britain and Ireland.www.aagbi.org November 2002.
16.
Truphatek International Ltd—Care and Maintenance Instructions for Truphatek Laryngoscope Handles and Blades 10/01.
17.
BuckM.J.L., de GastH.M., VeldhuisJ., HassingL.H., MeulemansA., KammeyerA.The effect of mechanical cleaning and thermal disinfection on light intensity provided by fibrelight Macintosh laryngoscopes.Anaesthesia2003; 58: 461–465.
18.
TwiggS.J.L., McCormackB., CookT.M.Randomised evaluation of the performance of single-use laryngoscopes in simulated easy and difficult intubation.British Journal of Anaesthesia2003; 90: 8–13.