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Manikin Tracheitis

George Nicklin, MD
JAMA. 1980;244(18):2046-2047. doi:10.1001/jama.1980.03310180016016.
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To the Editor.—  On recent completion of an American Heart Association course on cardiopulmonary resuscitation, I raised a question concerning the maintenance of a sterile and noninfectious technique in dealing with the manikins, which were used by various physician participants in the course to improve their competency in cardiopulmonary resuscitation. During the course, the manikins were sterilized before each use by alcohol sponges wiped over the mouth and nose area. However, the "lungs" were not sterilizable, and I noticed the day after the course that I had tracheitis. This tracheitis persisted for approximately 72 hours and then cleared gradually.It is my impression that a manikin tracheitis develops in medical technicians and physicians who are taking the cardiopulmonary resuscitation courses because of difficulty in maintaining sterile techniques of the immediate areas outside of the region of the mouth and nose. Participants in cardiopulmonary resuscitation courses and instructors should be alerted


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