SBA 2020: Regional anesthesia safety recommendations update

Azi, Liana Maria Tôrres de Araújo; Fonseca, Neuber Martins; Linard, Livia Gurgel

doi:10.1016/j.bjane.2020.04.015

Cited by 6 publications

(6 citation statements)

References 163 publications

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“…20 In this study, we observed the growth of the main microorganisms of epidemiological importance at different incubation times and sample collection sites. These results were consistent with the findings of previous studies on the contamination of the inspiratory and expiratory branches 21 that may be associated with processing that proves ineffective in disinfection.…”

Section: Discussionsupporting

confidence: 92%

“…The processing of corrugated tubes from the inspiratory and expiratory branches of the respiratory circuit of anesthesia machines may become invalid when the norms and protocols recommended by the national and international bodies for processing are not properly followed. 16,[21][22][23] This reprocessing is performed and conditioned by the human factors responsible for the proper removal of dirt and correct dilution of the products. 16,[22][23] In general, anesthesia machine design makes routine cleaning and disinfection difficult, and complete decontamination is practically impossible in daily practice.…”

Section: Discussionmentioning

confidence: 99%

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Contamination of equipment and surfaces in the operating room anesthesia workspace: a cross-sectional study

Macedo,

Ferreira,

Barcelos

et al. 2024

Sao Paulo Med. J.

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The transmission of microorganisms in healthcare settings, including perioperative areas, has become a potential concern in recent studies. The occupancy of spaces by previously colonized or infected patients increases the risk of acquiring multidrug-resistant microorganisms, emphasizing the critical importance of robust cleaning and disinfection procedures. [1][2] The persistence of contamination on environmental surfaces has been linked to insufficient cleaning practices in operating rooms and anesthesia workspaces. This is of particular concern as eliminating multidrug-resistant microorganisms from these surfaces is a key strategy to mitigate the prevalence of healthcare-associated infections (HAIs) that significantly contribute to morbidity, mortality, and extended hospital stays. [2][3][4][5] The existing [3][4][5][6] cleaning practices in operating rooms and anesthesia work areas are inadequate; therefore, environmental surfaces remain contaminated. Removing multidrug-resistant microorganisms from operating room surfaces is essential to minimizing the risk of HAIs.Furthermore, HAIs contribute to major public health problems by increasing morbidity and mortality rates and prolonging the hospitalization time of patients. [1][2][3][4][5] In particular, surgical patients with open wounds are at a higher risk; 6 therefore, the potential for cross-transmission in the intraoperative environment poses a threat to patient safety. 7Contamination in the anesthesia work area, including the anesthesia cart, faucets, laryngeal masks, laryngoscope blades, touchscreens, keyboards, and the hands of professionals, can result in the transmission of infections that promote health risks, highlighting pneumonia associated with mechanical ventilation (PAVM). [1][2][3][4]8 Ventilator-associated pneumonia (VAP) is characterized as an infectious disease with an imprecise diagnosis and multiple causes, which allows divergent recommendations related to preventive measures, diagnosis, and treatment. [9][10][11] Because 24 h of intubation in invasive mechanical ventilation (IMV) favor the colonization of microorganisms in the lower airways, orotracheal

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Contamination of equipment and surfaces in the operating room anesthesia workspace: a cross-sectional study

Macedo,

Ferreira,

Barcelos

et al. 2024

Sao Paulo Med. J.

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“…Most US-guided single-injection PNBs have a low infection rate, using only regular disinfection techniques and a sterile barrier dressing for the transducer [ 13 ]. Several recommendations include aseptic measures such as the use of sterile gel and a sterile transducer cover, in addition to the use of sterile gloves, face mask, and adequate skin disinfection [ 14 ]. These suggestions are consistent with our results as most anesthesiologists follow the same aseptic recommendations.…”

Section: Discussionmentioning

confidence: 99%

Peripheral Nerve Block Practice in Portugal: A National Survey

Teixeira¹,

Artilheiro²,

Silva³

et al. 2023

Cureus

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Regional anesthesia (RA) has several benefits and its use has increased with the advent of ultrasound-guided techniques. Opioid-sparing anesthesia and reduced use of general anesthesia are some of the mainstay advantages of RA. Although anesthetic practices differ deeply between countries, RA has assumed a crucial role in the daily practice of anesthesiologists, particularly during the COVID-19 pandemic period. This cross-sectional study provides an overview of peripheral nerve block (PNB) techniques performed in Portuguese hospitals. An online survey was reviewed by members of Clube de Anestesia Regional (CAR/ESRA Portugal) and then sent to a national mailing list of anesthesiologists. The survey focused on specific topics related to RA techniques such as the importance of training and experience, and the relevance of logistical limitations during the execution of RA. All data were collected anonymously and included in a Microsoft Excel (Microsoft Corp., Redmond, WA, USA) database, for further analysis. A total of 335 valid answers were obtained. All participants considered RA as a key competence in their daily practice. Half of those inquired performed PNB techniques once to twice per week. The main limitations identified for performing RA in Portuguese hospitals were the absence of block rooms and insufficiently trained personnel for the appropriate and safe execution of these techniques. This survey provides a comprehensive overview of RA in the Portuguese setting and could serve as a baseline for further studies.

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“…1 However, guidelines from professional societies vary worldwide (Table 1), and the Australian and New Zealand College of Anaesthetists' (ANZCA) guidelines are the oldest currently in use. [1][2][3][4][5][6][7][8] In the USA, Canada and Brazil, gowning is not considered to be a routine requirement when undertaking neuraxial anaesthesia. [2][3][4] Recent guidelines published by the Association of Anaesthetists of Great Britain and Ireland (AAGBI; 2020) acknowledge the importance of aseptic technique in central neuraxial blocks, but no longer state that gowning is required (as did the previous version of the guidance).…”

mentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8] In the USA, Canada and Brazil, gowning is not considered to be a routine requirement when undertaking neuraxial anaesthesia. [2][3][4] Recent guidelines published by the Association of Anaesthetists of Great Britain and Ireland (AAGBI; 2020) acknowledge the importance of aseptic technique in central neuraxial blocks, but no longer state that gowning is required (as did the previous version of the guidance). 5,6 However, AAGBI guidelines do recommend gowning for neuraxial procedures involving immunocompromised patients.…”

mentioning

confidence: 99%

Time to re-evaluate the routine use of sterile gowns in neuraxial anaesthesia

Tuohey,

Shelton,

Dieleman

et al. 2023

Anaesth Intensive Care

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SBA 2020: Regional anesthesia safety recommendations update

Cited by 6 publications

References 163 publications

Contamination of equipment and surfaces in the operating room anesthesia workspace: a cross-sectional study

Contamination of equipment and surfaces in the operating room anesthesia workspace: a cross-sectional study

Peripheral Nerve Block Practice in Portugal: A National Survey

Time to re-evaluate the routine use of sterile gowns in neuraxial anaesthesia

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