Episode Summaries
BlockHeads aims to build a strong community of emergency medicine experts who share best practices and helpful tips for adopting ultrasound-guided regional analgesia in the emergency setting. To that end, we will regularly share summaries from our monthly Zoom meetings to highlight key points.
If you find these topics interesting and would like to get involved, we would love to have you join us at our next meeting!
Ultrasound Disinfection & Cleaning Practices
In a recent discussion among emergency medicine physicians, the topic of ultrasound disinfection and cleaning practices was explored. The group reviewed guidelines from various organizations, including ACEP and AIUM, and shared their own experiences and concerns.
Key takeaways:There is wide practice variation on the level of disinfection required for different ultrasound-guided procedures despite guidelines.
The use of probe covers, sterile gel, and gloves varies widely among physicians.
Some physicians are concerned about the potential damage to probes caused by certain types of probe covers and adhesives.
The cost and time required for high-level disinfection are also significant considerations.
Recommendations:Adhere to AIUM guidelines as a general standard.
Use a probe cover and sterile gel for procedures involving needle placement.
Consider using a non-sterile Tegaderm or Opsite cover for superficial procedures to protect the probe from contamination.
Perform low-level disinfection after each procedure.
Sterile Probe covers may be necessary in cases of gross contamination or when placing a catheter.
The discussion highlighted the need for further research and standardized guidelines on ultrasound disinfection and cleaning practices in emergency medicine.
Additional Reading / Sources:Ultrasound-Guided Nerve Blocks: Suggested Procedural Guidelines for Emergency Physicians
ACEP Guidelines for Ultrasound Transducer Cleaning and Disinfection