Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Miscellaneous issuesThe trauma list finishes at 20:00, with the after hours arrangementsbeing identical.Ultrasound guided nerve blocks[Appraised by Dr Shyam Balasubramanian, January 2010]We have recently acquired several ultrasound machines designed foruse in the placement of regional nerve blocks. While this will remainunder continuous scrutiny it is not yet a requirement of placing nerveblocks that you use an ultrasound machine. If you would like trainingin its use please contact Dr Hillerman, Dr Balasubramanian oranother consultant interested in this area.1. All the ultrasound machines are parked in a designated area –the anaesthetist taking it out should log the detail in a notebookkept in that designated area. This will help avoid looking for themachine in every anaesthetic room every day.2. When the machine is unused please plug it to continuecharging. The battery in the machine can discharge easilywithout adequate charge and this may affect the longevity of themachine.3. Do not use the gel provided with the ultrasound machine (in awhite container) for nerve blocks; it is for diagnostic scanningpurposes and for preprocedural screening only. The sterile 10 gsachet of Aquagel used for lubricating ETT cuffs is good.4. The transducer probe will be damaged if cleaned with alcoholwipes. Sani-cloth disinfection wipes (green lid container) do notcontain alcohol and are very effective.5. A size 8 sterile glove can be used as a sterile condom for theprobe to prevent cross infection.238 Anaesthetists Handbook January 2010