Contamination risk -using reusable cuffs

Contamination risk using reusable cuffs Surgery of extremity in bloodless field Many orthopedic procedures, such as knee replacement surgery and anterior cruciate ligament reconstruction, etc., is usually preformed in a so called ”bloodless field”. Bloodless field, in this type of surgery, is created by use of a Tourniquet-system. This system creates and maintains the surgery site bloodless by use of a pressure cuff. In Sweden are reusable cuffs most often used, which are available both as single and double cuffs. After each operation, the cuffs are wiped with alcohol, coiled and stored on a...

Time consuming, but more correctly, cleaning of reusable cuffs If the cuff is autoclavable it should be sterilized and autoclaved between each patient. The reusable cuff shall be cleaned properly between each surgical procedure in lukewarm water and an approved disinfectant. Scrub with a soft brush if necessary. The cuff should then be rinsed thoroughly because cleaning solution residue may cause skin irritation. All tubing should be cleaned, rinsed, and dried between patients and before storage, water in the ports contributes to microbial growth. The bladder should be thoroughly dried to avoid...

Infection prevention practices during surgery There are routines for both pre- and intraoperative care to prevent postoperative SSIs. In any surgical practice, policies and procedures should be in place, pertaining to the making of a surgical incision and the prevention of infection. This policies and procedures should govern the following: skin disinfection and hand washing practices of the operating team, preoperative preparation of the patient’s skin (e.g., hair removal and use of antiseptics), the use of prophylactic antibiotics, techniques for preparation of the operative site, dressings,...

gfglOrebro University Hospital .^^o RAPPORT Department of Laboratory Medicine % W g utfardad av ackrediterat laboratorium aK™SrTY IT**' REPORT issued by an Accredited Laboratory Clinical Microbiology Section ,M, To Scandinavian Medical Systems AB To Your ref: Peter Westrin Your ref: VIABLE COUNT REPORT Ster no/date Smal manschett / Single cuff The sample was aseptically divided and after that rinsed through shaking in 1000 ml 0,1% buffered peptone water for 30 minutes. Approx. 500 ml were passed through a membrane filter 0,45 urn. The filter was divided in equal parts and placed on tryptic soy...

|§|6rebro University Hospital REPORT KsSi Department of Laboratory Medicine o z utfardad av ackrediterat laboratorium 6R=COWCLWTY IREPORT issued by an Accredited Laboratory Clinical Microbiology Section B5] To Scandinavian Medical Systems AB To Your ref: Peter Westrin Your ref: VIABLE COUNT REPORT Name of product Bred manschett/ Double cuff Ster no/date The sample was aseptically divided and after that rinsed through shaking in 1000 ml 0,1% buffered peptone water for 30 minutes. Approx. 500 ml were passed through a membrane filter 0,45 um. The filter was divided in equal parts and placed on tryptic...

Literature: 1. Örebro University Hospital, Department of Laboratory Medicine, Viable count report, Access no: 11544-00575 and 11544-00576 2. www.tourniquet.org 3. Barnett, T. E. (2007). The not-so-hidden costs of surgical site infections. AORN Journal, 86, (2), 249-258 4. Poulsen KB, Bremmelgaard A, Sorensen AI, Raahave D, Petersen JV. Estimated costs of postoperative wound infections. A case control study of marginal hospital and several security costs. Epidemiol Infect 1994;113:285-95 5. Barnard BM. Fighting surgical site infections. Infect Control Today (2002) 6. Smittskyddsinstitutet (2010)...

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