Azi Liana Maria Tôrres de Araújo, Fonseca Neuber Martins, Linard Livia Gurgel
Universidade Federal da Bahia (UFBA), Departamento de Anestesiologia e Cirurgia, Salvador, BA, Brazil; Hospital Universitário Professor Edgard Santos, Centro de Ensino e Treinamento em Anestesiologia, Salvador, BA, Brazil; Comissão de Norma Técnicas da Sociedade Brasileira de Anestesiologia (SBA), Salvador, BA, Brazil.
Comissão de Norma Técnicas da Sociedade Brasileira de Anestesiologia (SBA), Salvador, BA, Brazil; Universidade Federal de Uberlândia (UFU), Faculdade de Medicina, Disciplina de Anestesiologia, Uberlândia, MG, Brazil; Universidade Federal de Uberlândia (UFU), Faculdade de Medicina, Centro de Ensino e Treinamento em Anestesiologia, Uberlândia, MG, Brazil; Coordinator of the Comitê de Estudo de Equipamentos Respiratórios e de Anestesiologia da ABNT, and Delegate and representative of the SBA Board at the Technical Committee 121/ISO - Anesthetic and Respiratory Equipment, Uberlândia, MG, Brazil.
Braz J Anesthesiol. 2020 Jul-Aug;70(4):398-418. doi: 10.1016/j.bjan.2020.02.005. Epub 2020 May 12.
The purpose of the Brazilian Society of Anesthesiology (SBA)’s Regional Anesthesia Safety Recommendations Update is to provide new guidelines based on the current relevant clinical aspects related to safety in regional anesthesia and analgesia. The goal of the present article is to provide a broad overview of the current knowledge regarding pre-procedure asepsis and antisepsis, risk factors, diagnosis and treatment of infectious complications resulting from anesthetic techniques. It also aims to shed light on the use of reprocessed materials in regional anesthesia practice to establish the effects of aseptic handling of vials and ampoules, and to show cost-effectiveness in the preparation of solutions to be administered continuously in regional blockades. Electronic databases were searched between January 2011 (final date of the literature search for the past SBA recommendations for safety in regional anesthesia) and September 2019. A total of 712 publications were found, 201 of which were included for further analysis, and 82 new publications were added into the review. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system was used to assess the quality of each study and to classify the strength of evidence. The present review was prepared by members of the SBA Technical Standards Committee.
巴西麻醉学会（SBA）区域麻醉安全建议更新的目的是根据当前与区域麻醉和镇痛安全相关的临床方面提供新的指南。本文的目的是对当前关于术前无菌和消毒、危险因素、麻醉技术引起的感染并发症的诊断和治疗的知识进行广泛概述。它还旨在阐明区域麻醉实践中再处理材料的使用，以确定小瓶和安瓿无菌处理的效果，并展示在制备用于区域阻滞持续给药的溶液中的成本效益。在2011年1月（上次SBA区域麻醉安全建议文献检索的截止日期）至2019年9月期间检索了电子数据库。共找到712篇出版物，其中201篇纳入进一步分析，82篇新出版物被纳入综述。采用推荐分级、评估、制定和评价（GRADE）系统评估每项研究的质量并对证据强度进行分类。本综述由SBA技术标准委员会成员编写。
