2019
DOI: 10.1111/anae.14585
|View full text |Cite
|
Sign up to set email alerts
|

Multicentre clinical simulation evaluation of the ISO 80369‐6 neuraxial non‐Luer connector

Abstract: SummaryTo avoid potentially fatal wrong‐route neuraxial drug errors, international standard ISO 80369‐6 specifying a non‐Luer neuraxial connector design was published in 2016. We describe usability studies used in development of the design. Thirty‐eight doctors and 17 nurses performed simulated procedures on manikins, using devices fitted with Luer connectors or draft ISO 80369‐6 ‘non‐Luer’ connectors. The procedures included spinal anaesthesia; intrathecal chemotherapy; lumbar puncture, cerebrospinal fluid co… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

2
5
0

Year Published

2021
2021
2024
2024

Publication Types

Select...
10

Relationship

0
10

Authors

Journals

citations
Cited by 13 publications
(7 citation statements)
references
References 11 publications
2
5
0
Order By: Relevance
“…Several simulation studies 27‐30 confirmed the use of devices with non‐Lüer ISO 80369‐6 connector for regional anaesthesia as acceptable for ease of use, reliability, lack of leakage and versatility.…”
Section: Tested Standards In Regional Anaesthesiamentioning
confidence: 89%
“…Several simulation studies 27‐30 confirmed the use of devices with non‐Lüer ISO 80369‐6 connector for regional anaesthesia as acceptable for ease of use, reliability, lack of leakage and versatility.…”
Section: Tested Standards In Regional Anaesthesiamentioning
confidence: 89%
“…Three notable exceptions for drugs commonly used in obstetrics are thiopentone, chlorhexidine and TXA, which have resulted in cauda equina syndrome, catastrophic irreversible neurological impairment, and death due to refractory ventricular arrhythmias, respectively [86–88]. Recommended interventions to prevent errors include a careful reading of all ampoule and syringe labels, strategically storing the drugs in a way to prohibit errors, proper labelling of all syringes, second person checks and, recently, the use of non‐Luer lock devices for all neuraxial procedures [86, 89].…”
Section: Methodsmentioning
confidence: 99%
“…However, ultrasound alone must not be considered a panacea. Incremental injection using 3–5 ml aliquots, aspiration before injection and the introduction of non‐Luer NRFit ® technology to reduce wrong syringe and drug errors may also help despite lack of strong evidence demonstrating benefit [65]. The wait time of 15–30 s during incremental injection should be increased in low cardiac output states, although a longer wait risks needle movement between injections.…”
Section: Risk Of Last: Contributing Factors and Their Mitigationmentioning
confidence: 99%