Table 3.
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.