I read with interest the results of a national survey regarding skin disinfection
before spinal anaesthesia.
1
However, the authors did not mention recommendations published in a recent letter
to the British Journal of Anaesthesia.
2
The potential neurotoxicity of more concentrated (>0.5%) chlorhexidine cleaning solutions
was referred to by Bradbury et al. But in mentioning ChloraPrep® devices, no reference
was made to the Summary of Product Characteristics (SmPC) of this solution. In its
cautions, the SmPC state with ChloraPrep® Clear, contact with the meninges should
be avoided,
3
and with ChloraPrep® with Tint, direct contact with neural tissue must be avoided.
CareFusion. Chloraprep® Summary of Product Characteristics. www.chloraprep.co.uk/downloads/SummaryofProductCharacteristicsUK.pdf [accessed 30.01.11].
4
CareFusion. Chloraprep® with Tint Summary of Product Characteristics. www.chloraprep.co.uk/downloads/TintSummaryofProductCharacteristicsUK.pdf [accessed 30.01.11].
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References
- Skin disinfection before spinal anaesthesia for caesarean section: a survey of UK practice.Int J Obstet Anesth. 2011; 20: 101-102
- Antiseptic solutions for central neuraxial blockade: which concentration of chlorhexidine in alcohol should we use?.Br J Anaesth. 2009; 103: 456-457
CareFusion. Chloraprep® Summary of Product Characteristics. www.chloraprep.co.uk/downloads/SummaryofProductCharacteristicsUK.pdf [accessed 30.01.11].
CareFusion. Chloraprep® with Tint Summary of Product Characteristics. www.chloraprep.co.uk/downloads/TintSummaryofProductCharacteristicsUK.pdf [accessed 30.01.11].
Article info
Publication history
Published online: June 06, 2011
Accepted:
February 4,
2011
Identification
Copyright
© 2011 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
