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- W1972055731 abstract "I read with interest the study by Evans et al. 1 about chlorhexidine droplet splash from a skin preparation gallipot. The study neatly demonstrates the risks of contamination of equipment with poured antiseptic solutions. The authors also highlight the shortcomings of other methods of antiseptic skin preparation, in particular the chlorhexidine spray. These include the risk of both missing areas and applying excessive amounts, and due to the wide area of spread of spray, equipment contamination, airway irritation if inhaled and eye damage or ototoxicity should contact occur. The suggestion that skin antiseptic preparation should be performed before preparing equipment may not always be practical, particularly for the unassisted anaesthetist performing labour epidurals. Single-use swabsticks such as the ChloraPrep® (CareFusion, Basingstoke, UK), a swabstick containing antiseptic solution sealed until the moment of use as opposed to a pre-soaked sponge, reduce the risks associated with poured or sprayed antiseptic solutions and are more practical for the unassisted anaesthetist. The commercially available swabsticks contain 2% chlorhexidine. This has previously drawn criticism due to the possible higher risk of subacute arachnoiditis when used for central neuraxial blockade compared with the 0.5% solution 2. However, this theoretical risk must be weighed against the demonstrable ones associated with the other methods of antiseptic application. In addition, further reassurance can be gained from the change in safety advice from the most recent datasheet for ChloraPrep. Previously it was recommended that they should not be used ‘for lumbar puncture’, but the datasheet now states something very similar to the 0.5% solution warning: “direct contact with neural tissue… must be avoided” 3." @default.
- W1972055731 created "2016-06-24" @default.
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- W1972055731 date "2014-02-18" @default.
- W1972055731 modified "2023-10-06" @default.
- W1972055731 title "Chlorhexidine droplet splash - time to revisit the swabstick?" @default.
- W1972055731 cites W2023904713 @default.
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- W1972055731 doi "https://doi.org/10.1111/anae.12614" @default.
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