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Communication
Peer-Review Record

Disinfection of Reusable Laryngoscopes: A Survey about the Clinical Practice in Spain

Healthcare 2023, 11(8), 1117; https://doi.org/10.3390/healthcare11081117
by Manuel Á. Gómez-Ríos 1,2,3,*, José Alfonso Sastre 3,4, Teresa López 3,4 and Tomasz Gaszyński 5
Reviewer 1:
Reviewer 2: Anonymous
Healthcare 2023, 11(8), 1117; https://doi.org/10.3390/healthcare11081117
Submission received: 24 March 2023 / Revised: 7 April 2023 / Accepted: 9 April 2023 / Published: 13 April 2023
(This article belongs to the Special Issue Anesthesiology and Perioperative Medicine)

Round 1

Reviewer 1 Report

Thank you for addressing an interesting topic (often neglected by anesthesiologists).

Please see my comments in the manuscript attached.

Comments for author File: Comments.pdf

Author Response

Our comments on your suggestions are included in the PDF itself.

Thank you for your time and valuable comments.

Author Response File: Author Response.pdf

Reviewer 2 Report

The paper by Gomez-Rios et al. touches on an important issue i.e. cleaning of scopes, here laryngoscopes, in hospitals and specialist practices. In this case cleaning is fairly easy as compared to flexible gastroscopes and the like. As cited, it is a clear risk for a new patient to be examined with a contaminated laryngoscope and a protocol for cleaning (sterilization if possible) is mandatory in the modern hospital. The paper is well written and the data sound.

I have som suggestions for improving the manuscript:

1. I cannot find the data for how many surveys were sent/how many anesthesiologist were contacted ? There should be a percentage of the 289 responses in relation to total sent.

2. If possible, the data would benefit from stratification in major, minor hospitals or government/private.

3. Among possible bacteria that can pose a contamination problem i would also mention Mycobacterium spp. - i couldn´t find any reports about this for larungoscopes, but mycobacteria can be present in the oral flora, and they may be even more difficult to eradicate - autoclave optimal.

4. All bacterial names should be in italics.

5. The questionnaire needs some better English translation, e.g. "How long does the blade remain..."; "Nursing", better "Nurse - or nurses"; "Based on his experience..", based on "your" - it could be a female responding; "How is the disinfected....laryngoscope stores?". And text in Results: "did not obtain respresentation of respondents in only 5 regions..", better: "only 5 of all 50 regions in Spain were not represented among the respondents".

6. Explain SEDAR in Methods

Author Response

Thank you for your time and valuable comments.

Author Response File: Author Response.docx

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