Durability and disinfection of single-use endotracheal tubes following exposure to commonly available medical disinfecting compounds

•Endotracheal tubes are not structurally damaged by disinfection agents.•Endotracheal Tubes can be disinfected by Cidex, Neutral Disinfectant cleaner, and Cavicide.•Effective disinfection protocols and quality assurance must be established prior to reuse of endotracheal tubes in mass casualty incide...

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Bibliographic Details
Published in:	Nursing outlook Vol. 70; no. 6; pp. S127 - S135
Main Authors:	Yauger, COL Young, Waite, LT Kyle, Baker, Kimberly, Mallory, Amber, Attilio, LTC Peter, Stucky, LTC Christopher, Stone, MAJ Jessica, Ioset, MAJ Nicole, Johnson, Don
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-11-2022
Subjects:	Disinfection Endotracheal tube Glutaral Humans Intubation, Intratracheal - methods Pilot Projects Polyvinyl Chloride Reuse Single-use Disinfection Endotracheal tube Reuse Single-use
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Summary:	•Endotracheal tubes are not structurally damaged by disinfection agents.•Endotracheal Tubes can be disinfected by Cidex, Neutral Disinfectant cleaner, and Cavicide.•Effective disinfection protocols and quality assurance must be established prior to reuse of endotracheal tubes in mass casualty incidents. Reusing single-use medical supplies offers a capability enhancement during massive casualty incidents when resupply of medical supplies is unavailable in times of national health care crises. This pilot study determined the feasibility of disinfection of endotracheal tubes with commonly used chemical disinfecting agents. Endotracheal tubes (ETTs) were subjected to either CaviCide, Neutral Disinfectant Cleaner, Cidex, or saline according to the manufacturer's recommended disinfection contact times. Alterations to the polyvinyl chloride (PVC) integrity by disinfecting agents were determined by volume/pressure measurements within the ETT cuff. To test the disinfection rate, ETTs were inoculated with Staphylococcus Aureus and subjected to experimental disinfection protocol. There were no significant alterations to ETT tracheal cuff function and mixed results in disinfection among ETTs. ETTs bacterial culture data presented possible contamination among the groups. These data support the feasibility of single-use ETT reuse as a last resort while making every attempt and effort to follow established protocols to minimize harm to the patient.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0029-6554 1528-3968
DOI:	10.1016/j.outlook.2022.08.004