Infection Control in Anaesthesia

doi:10.1111/j.1365-2044.2008.05657.x

Cited by 107 publications

(11 citation statements)

References 25 publications

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“…Despite the existence of differences in interpretation of aseptic precautions, standard aseptic precautions include the use of sterilized gowns, gloves, facemasks, and an appropriately placed sterile drape as well as a thorough skin treatment and handwashing after the removal of any jewelry. [ 13 ] Their widespread implementation is extremely important in preventing such cases.…”

Section: Discussionmentioning

confidence: 99%

Spinal epidural abscess post spinal anesthesia: An uncommon complication of a common procedure

2020

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Spinal epidural abscess (SEA) is a severe pyogenic infection of the epidural space. Bacteria gain access to the epidural space either by hematogenous spread, contiguous spread from a neighboring infected structure, or through iatrogenic inoculation. The diagnosis of SEA is a challenge, largely because of its rarity. We present here a case of SEA of iatrogenic origin (post spinal anesthesia), which we treated at Tata Main Hospital, Jamshedpur.

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Section: Discussionmentioning

confidence: 99%

Spinal epidural abscess post spinal anesthesia: An uncommon complication of a common procedure

2020

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“…Laryngoscope blades may become contaminated with prion proteins, especially if used at the end of adenoidectomy and tonsillectomy. [ 13 ] Our study does not include detecting prions since they are extremely resistant to inactivation by sterilisation processes and disinfecting agents. There are an increasing number of single use laryngoscopes available.…”

Section: Discussionmentioning

confidence: 99%

“…There are an increasing number of single use laryngoscopes available. [ 13 ] However, due to economic constraints, they are not popular in India. Sterile laryngoscope sheaths can be used to reduce the extent of cleaning required.…”

Section: Discussionmentioning

confidence: 99%

Comparison of efficacy and cost-effectiveness of 0.55% ortho-phthalaldehyde and 2% glutaraldehyde for disinfection of laryngoscopes: A prospective pilot study

et al. 2017

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Background and Aims:The laryngoscope is a potential source of cross-infection as it involves contact with the mucous membrane, saliva and occasionally blood. This study compared efficacy and cost-effectiveness of two Centre for Disease Control approved agents for disinfection of laryngoscope blades.Methods:One hundred and sixty patients requiring laryngoscopy and intubation for general anaesthesia were randomly allocated into two groups. After tracheal intubation, used laryngoscope blades were cleaned with tap water. The blades were then immersed in either 2% w/v glutaraldehyde for a contact time of 20 min or 0.55% w/v ortho-phthalaldehyde (OPA) for 10 min. The handles were wiped with 0.5% w/v chlorhexidine wipes. Samples were collected using sterile cotton swabs from the tip, flange and light bulb area of the laryngoscope blade and one from the handle. They were cultured aerobically on blood and McConkey agar.Results:In 2% glutaraldehyde group, of 240 samples sent from the blades, 2 (0.8%) showed the growth of methicillin-resistant coagulase-negative staphylococci (MRCONS) and Enterobacter. In OPA group, of 240 samples, 2 (0.8%) showed growth of MRCONS. Thus, 2% glutaraldehyde and 0.55% OPA were comparable in terms of efficacy of disinfection. Growth was seen on 4 out of 160 handles.Conclusions:We suggest OPA for high-level disinfection of laryngoscope blades as it is equally efficacious as compared to glutaraldehyde, with a shorter contact time and available as a ready to use formulation.

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“…In asymptomatic at risk patients the above precautions also apply, but gowns may be reprocessed if not of single-use [ 4 ]. Invasive procedures, such as central venous cannulation and spinal anesthesia, mandate the use of full aseptic procedures including mask and eye protection [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management in patients suspected of Creutzfeldt-Jakob disease -A case report-

Choi

Park

et al. 2011

Korean J Anesthesiol

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Creutzfeldt-Jakob disease (CJD) is a fatal neurodegenerative disorder in which accumulation of the pathogenic prion protein induces neuronal damage and results in distinct pathologic features. This abnormal prion is an infectious protein and resistant to methods of sterilization currently being used. Therefore, management of definite, or suspected CJD patients requires additional precautions. We report our experience of a patient who had undergone brain biopsy for suspected of CJD. The patient was confirmed to have sporadic CJD.

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Infection Control in Anaesthesia

Cited by 107 publications

References 25 publications

Spinal epidural abscess post spinal anesthesia: An uncommon complication of a common procedure

Spinal epidural abscess post spinal anesthesia: An uncommon complication of a common procedure

Comparison of efficacy and cost-effectiveness of 0.55% ortho-phthalaldehyde and 2% glutaraldehyde for disinfection of laryngoscopes: A prospective pilot study

Anesthetic management in patients suspected of Creutzfeldt-Jakob disease -A case report-

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