An evaluation of non‐Luer safety connectors for neuraxial procedures1. (29th April 2013)

• Record Type: Journal Article
• Authors: Sharpe, P.; Scott, S.; Gross, J. M.
• Is Part Of: Anaesthesia. Volume 68:Number 6(2013:Jun.)
• Page Start: 562
• Page End: 570
• Publication Date: 2013-04-29
• Subjects: Anesthesia -- Periodicals; 617.96
• DOI: 10.1111/anae.12228
• Languages: English
• ISSNs: 0003-2409

Abstract

<abstract abstract-type="main" xml:lang="en" id="anae12228-abs-0001"> <title>Summary</title> <p>We evaluated seven non‐Luer spinal needles in a two‐part study. In part 1, we measured the time to see and collect simulated cerebrospinal fluid. In part 2, clinicians scored needle quality using a standardised questionnaire. The mean (SD) times to see cerebrospinal fluid varied in the lateral position from 4.2 (0.3) s (Vygon) to 25.2 (1.5) s (Sarstedt), and in the sitting position from 1.7 (0.2) s (BBraun) to 6.6 (0.3) s (Sarstedt). The time to collect cerebrospinal fluid varied from 43 (2.5) s (Vygon) to 139 (9.6) s (Pajunk) and from 19 (0.4) s (BBraun) to 34 (1.7) s (Pajunk), for the lateral and sitting positions, respectively. Median (IQR [range]) satisfaction scores in 205 needle function assessments were as follows: Sarstedt 9.0 (8.0–9.3 [5.0–10.0]); BD 8.0 (7.0–9.5 [3.0–10.0]); Pajunk 9.0 (8.0–9.8 [5.0–10.0]); Neurax 8.0 (7.0–9.0 [2.0–9.0]); Smiths 8.0 (7.0–9.0 [4.0–10.0]); Vygon 8.0 (7.5–9.0 [5.0–10.0]); and BBraun 9.0 (9.0–10.0 [7.0–10.0]). The difference in satisfaction scores between the BBraun and Neurax was significant (p &lt; 0.01). A number of recurrent problems were found during the evaluation. The variation in time to collect cerebrospinal fluid samples may have implications for non‐anaesthetic practice. This evaluation provides a baseline to assist others in commencing their procurement process.</p> </abstract>