///2010 Abstract Details
2010 Abstract Details2018-05-01T17:52:49+00:00

ASEPTIC TECHNIQUES FOR LABOR EPIDURALS: A SURVEY OF OBSTETRIC ANESTHESIA PRACTICE IN ONTARIO

Abstract Number: 89
Abstract Type: Other

Naveed Siddiqui M.D1 ; Subrata Chakravarty M.D2; Sharon Davies M.D, FRCPC3

Introduction: Infections secondary to neuraxial anesthesia may lead to serious neurological complications. 1, 2 Although the practice of aseptic technique is an important factor in regards to the prevention of infection, there are presently no accepted standards for asepsis during the insertion of a labor epidural catheter. Currently, clinical practice varies amongst institutions and often depends on the personal beliefs of the anesthesiologist rather than scientific evidence.3 Consequently, we felt the need to conduct a survey to determine what physicians believed to be essential aseptic precautions while performing labor epidural analgesia.

Methods: After REB approval, a self administered questionnaire regarding commonly used aseptic techniques during epidural insertion was distributed via regular mail to 1047 practicing anesthesiologists in Ontario. Items in the questionnaire had been formulated with the assistance of both community and university based obstetrical anesthesiologists. The survey broadly focused physicians type of practice, methods of asepsis during preparation and aseptic technique during epidural insertion.

Results: The response rate for this survey was 42%. The respondents included 40% community and 60% academic physicians. The major findings included a heterogeneous practice with respect to the wearing of sterile gowns, the type of antiseptic prep solution, and the use of a filter needle for drawing local anesthetic solutions. (Table-1)

Discussion: Our results indicate that the aseptic technique for labor epidural insertion varies among institutions. Further research is needed regarding the essentials of aseptic practice in order to develop evidence based guidelines and standardize clinical practice.



SOAP 2010