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Chapter 37 - Decontamination of Airway Equipment

from Section 3 - Airway Management: Organisation

Published online by Cambridge University Press:  03 October 2020

By
Subrahmanyan Radhakrishna
Edited by
Tim Cook  and
Michael Seltz Kristensen
Tim Cook
Affiliation:
Royal United Hospital, Bath, UK
Michael Seltz Kristensen
Affiliation:
Rigshospitalet, Copenhagen University Hospital, Denmark
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Summary

Healthcare-associated infection is a global concern and imposes a huge economic burden on the health industry. Anaesthesiologists must be aware of their role in mitigating infection at the work place. This chapter looks at the potential sources and causes of infection and how an anaesthetic event may result in cross-infection. Good practices including hand-washing, decontamination of equipment and maintenance of work surfaces and anaesthetic machines between cases are described. Terminologies such as single use, single patient use, reusable equipment, decontamination and sterilisation are defined. Management of reusable components of video and direct laryngoscopes and the use, maintenance and transport of flexible optical bronchoscopes are discussed. We hope this chapter would be of use to the career anaesthesiologists and also to trainees preparing for their certificate exams.

Keywords

Anaesthetic equipmentbio-burdencleaningcross-contaminationdecontaminationhand-washinghealthcare-associated infectionprionssterilisation
Type
Chapter
Information
Core Topics in Airway Management , pp. 316 - 320
Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Association of Anaesthetists. (2020). Guidelines. Infection prevention and control 2020. Available at: https://anaesthetists.org/Home/Resources-publications/Guidelines/Infection-prevention-and-control-2020.Google Scholar
Department of Health and Social Care. (2013). Management and decontamination of flexible endoscopes (HTM 01–06). Available at: https://www.gov.uk/government/publications/management-and-decontamination-of-flexible-endoscopes.Google Scholar
Department of Health and Social Care. (2016). Decontamination of surgical instruments (HTM 01–01). Available at: https://www.gov.uk/government/publications/management-and-decontamination-of-surgical-instruments-used-in-acute-care.Google Scholar
McCahon, RA, Whynes, DK. (2015). Cost comparison of re-usable and single-use fibrescopes in a large English teaching hospital. Anaesthesia, 70, 699–706.Google Scholar
McGrath, BA, Ruane, S, McKenna, J, Thomas, S. (2017). Contamination of single-use bronchoscopes in critically ill patients. Anaesthesia, 72, 36–41.Google Scholar
Medicines and Healthcare products Regulatory Agency. (2010). Sterilization, disinfection and cleaning of medical equipment: guidance on decontamination from the Microbiology Advisory Committee (the MAC manual). London. p. 14.Google Scholar
Medicines and Healthcare products Regulatory Agency. (2011). Medical Device Alert. MDA/2011/096. Crown Copyright. https://mhra-gov.filecamp.com/s/ywDEZLgX0nEPtNCx/fo/3gd4DFg85VgXQoG9/fi/f22KmJZol3Qswky0Google Scholar
Office of Disease Prevention and Health Promotion. (2013). National Action Plan to Prevent Health Care Associated Infections: Road Map to Elimination. Available at: http://theconversation.com/heres-how-many-people-get-infections-in-australian-hospitals-every-year-82309.Google Scholar

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