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. 2019 Sep 27;7(9):2325967119869846. doi: 10.1177/2325967119869846

Table 3.

Sterile Technique, Number of Cases, Anesthetic Preparation, and Infections, Broken Down by Physician and Jointa

Physician No. Joint No. of Cases Standard Sterile Preparation Protocol Standard Anesthetic Preparation Protocol Infections
1 Knee 224 Betadine swab sticks, then alcohol on sterile gauze for anesthetic, then repeat same for Mi-Eye2. 10-15 mL of 1% lidocaine for skin and capsule 0
Shoulder 116 0
2 Knee 137 ChloraPrep 15 mL total of 1% lidocaine/0.25% Marcaine 0
Shoulder 7 ChloraPrep 30 mL total of 1% lidocaine/0.25% Marcaine 0
3 Knee 7 ChloraPrep 1% lidocaine: 5 mL anterolateral, 5 mL anteromedial, 10 mL suprapatellar per joint 0
Shoulder 4 ChloraPrep 10 mL of 1% lidocaine, posterior approach 0
4 Knee 187 Betadine swab 10 mL of 1% lidocaine with epinephrine in each portal 0
Shoulder 4 10 mL of 1% lidocaine with epinephrine in each portal 0
5 Knee 172 Alcohol and ChloraPrep first (then infiltration tract). Next, cover the site and repeat preparation with ChloraPrep stick (no drapes). 20-30 mL of 1% lidocaine with 2 mL of bicarbonate 0
Shoulder 51 20-30 mL of 1% lidocaine with 2 mL of bicarbonate 0
6 Knee 22 ChloraPrep 5 mL of 1% lidocaine with epinephrine in each portal 0
Shoulder 1 5 mL of 1% lidocaine with epinephrine in each portal 0
7 Knee 5 Gowned first and then preparation with hydrogen peroxide, followed by Betadine. Anesthetic given and allowed to set up for 10 min. Then another Betadine preparation with ethyl chloride for procedure. 10-15 mL of 1% lidocaine 0
Shoulder 82 0
8 Knee 39 Chlorhexidine, sterile gloves, no drape. 10 mL of 1% lidocaine 0
9 Knee 19 Betadine swab sticks, then alcohol for Mi-Eye2 needle. Anesthetic: cold spray, 20 mL of 1% lidocaine without epinephrine in portals and joint 0
10 Knee 127 Betadine swab sticks, then alcohol on sterile gauze for anesthetic, then repeat same for Mi-Eye2. 20 mL total, half lidocaine 1%, half Marcaine 0.25% with epinephrine 0
Shoulder 9 Same as for knee 0
11 Knee 50 Iodine swab for injection of lidocaine-Marcaine mix followed by ChloraPrep and drape for the procedure. 0
Shoulder 6 0
12 Knee 56 Alcohol followed by chlorhexidine preparation for injection, repeat chlorhexidine preparation for procedure, sterile gloves, no drapes. Initial preparation with cold spray, then 15-20 mL of 1% lidocaine with epinephrine in skin and the track down to capsule; about 5 mL into the joint 0
Shoulder 16 0
13 Knee 74 ChloraPrep swab, no drape. 8 mL of 1% lidocaine with epinephrine, 2-3 mL in capsule, minimal amount in joint 0
Shoulder 4 0

aManufacturers: Betadine, Avrio Health; ChloraPrep, Becton Dickinson and Co; Marcaine, Pfizer.