Soulias M, Martin L, Garnier N, Juniot A, Aho L-S, Freysz M
Service de Pharmacie-Stérilisation Centrale, CHU de Dijon, 3, rue du Faubourg-Raines, 21033 Dijon cedex, France.
Ann Fr Anesth Reanim. 2006 Aug;25(8):811-4. doi: 10.1016/j.annfar.2006.03.005. Epub 2006 Apr 5.
According to French regulations concerning the risk of Creutzfeldt-Jakob disease transmission, traceability procedures of all sterile medical devices which need to be reused are mandatory. Despite sterilization processes, the reusable laryngeal mask airway (LMA) prion disease transmission remains possible. As a result, the disposable LMA has been introduced.
Assuming clinical equivalence was achieved, the cost of disposable vs reusable LMA was studied in a university hospital.
A Cost-minimization analysis of disposable vs reusable laryngeal mask airway was realised.
Disposable LMA cost was calculated as the sum of product cost and elimination cost. Reusable LMA were autoclaved after hospital purchasing in two separate sterilizing processing units of the same hospital. Reusable LMA cost was determined combining materiel and labor costs.
The reusable LMA cost depended on the sterilizing processing unit concerned and varied between 9.59 Euros and 9.69 vs 8.38 Euros for the single-use LMA.
With the cost savings made possible by use of disposable LMA in both labor and consumables, this practice should be considered.
根据法国有关克雅氏病传播风险的规定，所有需要重复使用的无菌医疗器械的可追溯程序是强制性的。尽管有灭菌过程，但可重复使用的喉罩气道（LMA）传播朊病毒疾病仍然是可能的。因此，一次性喉罩气道被引入。
假设实现了临床等效性，在一家大学医院研究了一次性与可重复使用喉罩气道的成本。
对一次性与可重复使用的喉罩气道进行了成本最小化分析。
一次性喉罩气道成本计算为产品成本与处置成本之和。可重复使用的喉罩气道在医院购买后在同一家医院的两个独立灭菌处理单元中进行高压灭菌。可重复使用喉罩气道的成本通过结合材料和劳动力成本来确定。
可重复使用喉罩气道的成本取决于相关的灭菌处理单元，在9.59欧元至9.69欧元之间变化，而一次性喉罩气道的成本为8.38欧元。
由于使用一次性喉罩气道在劳动力和耗材方面都能节省成本，这种做法值得考虑。
