{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:31:06Z","timestamp":1761708666468,"version":"build-2065373602"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,5,16]],"date-time":"2011-05-16T00:00:00Z","timestamp":1305504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>We conducted a postal survey of all consultant\u2010led UK obstetric anaesthetic units in August 2009, to assess the standard of aseptic technique used for neuraxial blocks. One hundred and sixty\u2010four units responded giving a response rate of 76%; 93% of units (149\/160) follow recommended precautions and attach a bacterial micropore filter to the epidural catheter. Epidural top\u2010ups are provided by 72% (116\/162) of units, with about two thirds using premixed solutions (of local anaesthetic with opioid) in a variety of ways: 51% (57\/111) via a continuous infusion pump; 47% (52\/111) by a prefilled syringe; and 23% (25\/111) by multiple use of a premixed bag of solution. For spinals, 91% of units (149\/164) add diamorphine: of these 85% (126\/149) draw the diamorphine from non\u2010sterile\u2010wrapped ampoules. If required to draw opioid from a non\u2010sterile\u2010wrapped ampoule, 86% (119\/138) of units use a micropore filter and 21% (29\/138) wipe the ampoule neck with an alcohol swab. Although sepsis secondary to neuraxial block in obstetric practice is uncommon (declared by 8.5% of units over an unspecified period of time), there is scope for further improvement.<\/jats:p>","DOI":"10.1111\/j.1365-2044.2011.06705.x","type":"journal-article","created":{"date-parts":[[2011,5,16]],"date-time":"2011-05-16T05:02:32Z","timestamp":1305522152000},"page":"497-502","source":"Crossref","is-referenced-by-count":14,"title":["A national survey of prevention of infection in obstetric central neuraxial blockade in the UK"],"prefix":"10.1111","volume":"66","author":[{"given":"A. G.","family":"McKenzie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Darragh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,5,16]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"Royal College of Anaesthetists Royal College of Nursing Association of Anaesthetists of Great Britain and Ireland British Pain Society European Society of Regional Anaesthesia & Pain Therapy.Good Practice in the Management of Continuous Epidural Analgesia in the Hospital Setting November 2004.http:\/\/www.aagbi.org\/publications\/guidelines\/docs\/epidanalg04.pdf(accessed 11\/05\/2009)."},{"key":"e_1_2_6_3_2","unstructured":"National Patient Safety Agency.Patient Safety Alert 21. Safer Practice with Epidural Injections and Infusions Available at:http:\/\/www.saferhealthcare.org.uk(accessed 11\/05\/2009)."},{"journal-title":"Infection Control in Anaesthesia 2","author":"AAGBI Safety Guideline","key":"e_1_2_6_4_2"},{"key":"e_1_2_6_5_2","unstructured":"Royal College of Anaesthetists.Report and Findings of the Third National Audit Project: Major Complications of Central Neuraxial Blockin the UK January 2009http:\/\/www.rcoa.ac.uk\/docs\/NAP3_web\u2010large.pdf(accessed 11\/05\/2009)."},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1054\/ijoa.2002.0973"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00115550-200007000-00003"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000286228.57455.91"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1366-0071(99)80004-7"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2007.04992.x"},{"key":"e_1_2_6_11_2","unstructured":"LewisG(ed).The Confidential Enquiry into Maternal and Child Health (CEMACH). Saving Mothers\u2019 Lives: Reviewing Maternal Deaths to Make Motherhood Safer \u2013 2003\u20102005. London:CEMACH 2007http:\/\/www.cemach.org.uk(accessed 11\/05\/2009)."},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2007.04977.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeh152"}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-2044.2011.06705.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-2044.2011.06705.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:12:07Z","timestamp":1761675127000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-2044.2011.06705.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,5,16]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2011,6]]}},"alternative-id":["10.1111\/j.1365-2044.2011.06705.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-2044.2011.06705.x","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"type":"print","value":"0003-2409"},{"type":"electronic","value":"1365-2044"}],"subject":[],"published":{"date-parts":[[2011,5,16]]}}}