Advertisement
CORRESPONDENCE| Volume 20, ISSUE 3, P266-267, July 2011

Download started.

Ok

Skin disinfection before spinal anaesthesia for caesarean section

      I read with interest the results of a national survey regarding skin disinfection before spinal anaesthesia.
      • Bradbury C.L.
      • Hale B.
      • Mather S.
      • Suri I.
      Skin disinfection before spinal anaesthesia for caesarean section: a survey of UK practice.
      However, the authors did not mention recommendations published in a recent letter to the British Journal of Anaesthesia.
      • Cook T.M.
      • Fischer B.
      • Bogod D.
      • et al.
      Antiseptic solutions for central neuraxial blockade: which concentration of chlorhexidine in alcohol should we use?.
      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,

      CareFusion. Chloraprep® Summary of Product Characteristics. www.chloraprep.co.uk/downloads/SummaryofProductCharacteristicsUK.pdf [accessed 30.01.11].

      and with ChloraPrep® with Tint, direct contact with neural tissue must be avoided.

      CareFusion. Chloraprep® with Tint Summary of Product Characteristics. www.chloraprep.co.uk/downloads/TintSummaryofProductCharacteristicsUK.pdf [accessed 30.01.11].

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to International Journal of Obstetric Anesthesia
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Bradbury C.L.
        • Hale B.
        • Mather S.
        • Suri I.
        Skin disinfection before spinal anaesthesia for caesarean section: a survey of UK practice.
        Int J Obstet Anesth. 2011; 20: 101-102
        • Cook T.M.
        • Fischer B.
        • Bogod D.
        • et al.
        Antiseptic solutions for central neuraxial blockade: which concentration of chlorhexidine in alcohol should we use?.
        Br J Anaesth. 2009; 103: 456-457
      1. CareFusion. Chloraprep® Summary of Product Characteristics. www.chloraprep.co.uk/downloads/SummaryofProductCharacteristicsUK.pdf [accessed 30.01.11].

      2. CareFusion. Chloraprep® with Tint Summary of Product Characteristics. www.chloraprep.co.uk/downloads/TintSummaryofProductCharacteristicsUK.pdf [accessed 30.01.11].