Multicentre clinical simulation evaluation of the ISO 80369-6 neuraxial non-Luer connector

Anaesthesia
T M CookP Phillips

Abstract

To avoid potentially fatal wrong-route neuraxial drug errors, international standard ISO 80369-6 specifying a non-Luer neuraxial connector design was published in 2016. We describe usability studies used in development of the design. Thirty-eight doctors and 17 nurses performed simulated procedures on manikins, using devices fitted with Luer connectors or draft ISO 80369-6 'non-Luer' connectors. The procedures included spinal anaesthesia; intrathecal chemotherapy; lumbar puncture, cerebrospinal fluid collection and pressure measurement; epidural catheter placement with bolus injection and critical care use. Participants attempted cross connection between neuraxial connectors and a range of other medical device connectors, including those from the ISO 80369 small-bore connector series. Video recording analysis was used for all assessments. Participants subjectively assessed performance of the draft non-Luer connector, including suitability for routine clinical use. Participants performed 198 procedures. The connector achieved easy, leak-free connections. The willingness of participants to use the non-Luer connectors were: spinal anaesthesia 100%; intrathecal chemotherapy 88%; lumbar puncture, cerebrospinal fluid collection and p...Continue Reading

References

Jan 14, 2009·British Journal of Anaesthesia·T M CookUNKNOWN Royal College of Anaesthetists Third National Audit Project
Dec 4, 2009·Quality & Safety in Health Care·R LawtonG Hughes
Oct 16, 2010·Anaesthesia·I A WalkerI H Wilson
Nov 25, 2011·British Journal of Anaesthesia·R OniaK Kassler-Taub
Apr 24, 2012·Anaesthesia·T M Cook
May 2, 2015·The European Respiratory Journal·David Planchard, Benjamin Besse
Aug 20, 2015·Indian Journal of Pharmacology·Baisakhi Laha, Avijit Hazra
Jan 19, 2016·International Journal of Obstetric Anesthesia·D M HatchM D Owen

❮ Previous
Next ❯

Citations

Jun 4, 2020·European Journal of Anaesthesiology·Benedikt PreckelJannicke Mellin-Olsen
May 9, 2021·Acta Anaesthesiologica Scandinavica·F S S Wiepking, A A J Van Zundert

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.