STERILE TECHNIQUE IN NEURAXIAL ANESTHESIA: OBSERVATION OF PRACTICE FOLLOW-UP
Mallory Martinez MD, Greg Miller BS, Grace Shih MD, and Rachel Henning BSN
The University of Kansas Medical Center, Kansas City, Kansas
In an effort to reduce infectious complications associated with neuraxial anesthesia, the American Society of Regional Anesthesia (ASRA) released a set of recommendations in 2006 regarding aseptic technique for neuraxial blocks. In response, the American Society of Anesthesiologists (ASA) Task Force released a practice advisory focused on aseptic technique consisting of the following:
ASA Task Force Recommendations here
In 2013, a quality improvement study was conducted at The University of Kansas Medical Center (KUMC) to evaluate whether the above recommendations were being followed. Anesthesiology faculty and residents completed a survey regarding their aseptic techniques for neuraxial anesthesia. Following the initial survey, faculty and residents were given an educational presentation on this topic. Survey results after the presentation showed that 96% of KUMC anesthesiology faculty and residents indicated making a change in their sterility practices.
The purpose of this study was to determine, through random audit and as a follow up to the educational presentation provided, whether the anesthesiology faculty and residents at KUMC are adhering to ASA and ASRA recommendations for aseptic technique during neuraxial anesthesia. An anonymous survey was also sent to anesthesiology faculty and residents following the audit to determine barriers to abiding by the recommendations.