Anesthesia, Spinal Clinical Trial
Official title:
Alcohol 70% Versus Chlorhexidine 0.5% in the Spinal Anesthesia Skin Antissepsis
Context: The neuraxial blocks, spinal anesthesia and epidural anesthesia are among the most
frequently performed procedures worldwide, and despite the advancements of medical equipment,
remain dependent on experience and practice of the anesthesiologists. Although antisepsis
takes part of the daily routine, there are still no solid scientific evidence of the most
appropriate antiseptic for these procedures.
Objective: To compare the 70% alcohol and 0.5% chlorhexidine alcohol solution in skin
antisepsis for the neuraxial blocks.
Methods: This is a clinical trial, a prospective, randomized study. There will be selected,
consecutively, 70 patients candidates for neuraxial blocks. Patients will be randomly
assigned to group A (n = 35), in which the antisepsis will be performed with alcohol 70%, and
to group B (n = 35), in which the antiseptic will be performed with the 0.5% chlorhexidine in
alcoholic solution. Samples will be collected with swabs in an area of 25 cm² for bacterial
cultures three times: in pre-antisepsis moments, in the second minute after antisepsis, and
immediately after the puncture. The number of colonies forming units per square centimeter
(CFU / cm²) will be counted. The data will be analyzed statistically.
n/a
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