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British Journal of Anaesthesia 2009 103(3):456-457; doi:10.1093/bja/aep214
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© The Author [2009]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournal.org

Antiseptic solutions for central neuraxial blockade: which concentration of chlorhexidine in alcohol should we use?

M. Scott*, J. Stones and N. Payne

Guildford, UK

* E-mail: mjpscott@btinternet.com

The first 10% of the full text of this article appears below.

Editor—We read the article on the national audit conducted by the Royal College of Anaesthetists by Cook and colleagues1 and congratulate the group on an outstanding piece of work which has enlightened the whole anaesthetic community and no doubt will lead to improved patient safety.

We note that the NAP3 audit reinforces that sterile technique in regional anaesthesia is an important aspect of reducing complications from infection of neuraxial blockade. In Chapter 9, it states that ‘chlorhexidine in alcohol is the solution of choice for regional anaesthesia’, although the concentration of chlorhexidine is not stated. A review article from 2006 also considered that its use be considered a Grade A recommendation.2 A . . . [Full Text of this Article]

T. M. Cook1,*, B. Fischer2, D. Bogod3, J. A. Wildsmith4, D. Counsell5, I. Christie6 and M. Damien7

1 Bath, UK
2 Redditch, UK
3 Nottingham, UK
4 Dundee, UK
5 Wrexham, UK
6 Plymouth, UK
7 Leicester, UK

* E-mail: tcook@rcoa.ac.uk


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How small is small ?
Prasanna Tilakaratna
British Journal of Anaesthesia, 13 Nov 2009 [Full text]