• M Soulias, L Martin, N Garnier, A Juniot, L-S Aho, and M Freysz.
• Service de Pharmacie-Stérilisation Centrale, CHU de Dijon, 3, rue du Faubourg-Raines, 21033 Dijon cedex, France.
• Ann Fr Anesth Reanim. 2006 Aug 1; 25 (8): 811-4.

JustificationAccording 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.ObjectiveAssuming clinical equivalence was achieved, the cost of disposable vs reusable LMA was studied in a university hospital.Study DesignA Cost-minimization analysis of disposable vs reusable laryngeal mask airway was realised.MethodsDisposable 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.ResultsThe 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.ConclusionWith the cost savings made possible by use of disposable LMA in both labor and consumables, this practice should be considered.

17 keywords...

hide…