Laryngoscope burn risk in neonatal intubation.

Abstract:

LARYNGOSCOPE BURNS IN NEONATAL INTUBATION:Following burns during neonatal intubation, we mounted an in vitro study of laryngoscopes to determine the temperatures reached during clinical use. The temperature of 10 different bulb laryngoscopes heads and two fibre optic heads were measured with a thermocouple, once opened, and upon closing. Within 60 s, all ten laryngoscopes, with light-bulb sources, had gained significant heat to cause thermal injury to neonatal skin. Laryngoscopes with LED light source and fibre optic heads did not. CONCLUSION:We recommend that the bulb laryngoscope blade, if used, is not left open prior to intubation and that it is closed between intubation attempts. What is Known: • The preterm epidermis is particularly vulnerable to injury. What is New: • Bulb laryngoscope light bulbs consistently reach temperatures sufficient to burn neonatal skin in less than 100 s in an in vitro study. • Bulb light safety advice should be incorporated into intubation guidelines.

journal_name

Eur J Pediatr

authors

Ryan E,O Neill P,Brabazon D,Murphy JFA

doi

10.1007/s00431-019-03381-0

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

1125-1127

issue

7

eissn

0340-6199

issn

1432-1076

pii

10.1007/s00431-019-03381-0

journal_volume

178

pub_type

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