Masques laryngés à usage unique vs réutilisable : une étude de minimisation de coûts

Abstract

Justification 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. Objective Assuming clinical equivalence was achieved, the cost of disposable vs reusable LMA was studied in a university hospital. Study design A Cost-minimization analysis of disposable vs reusable laryngeal mask airway was realised. Methods 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. Results 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. Conclusion With the cost savings made possible by use of disposable LMA in both labor and consumables, this practice should be considered.