REGIONAL ANAESTHESIA Video-assisted structured teaching to improve aseptic technique during neuraxial block

Editor’s key points † Strict adherence to proper aseptic technique is a mandatory component of safe epidural catheterization. † This study evaluated a teaching video highlighting key steps of a thorough aseptic technique in anaesthesia trainees. † A scoring system was used to quantify compliance and this indicated marked improvement in aseptic practice after instruction. † Good habits, taught early in training, are likely to instil a higher level of hygienic practice in our specialty. Background. Teaching epidural catheter insertion tends to focus on developing manual dexterity rather than improving aseptic technique which usually remains poor despite increasing experience. The aim of this study was to compare epidural aseptic technique performance, by novice operators after a targeted teaching intervention, with operators taught aseptic technique before the intervention was initiated.