Re: US guided procedures
From: HowM (jendela@klinikfoo.com)
Wed Oct 4 22:24:54 2006
Hi,
Just to say thank you to Terry, Udayakumar and Allen for their advice.
For a GP in a rural area where US is mostly self-learnt, their inputs
have been very helpful.
MHFoo
On 10/4/06, Allen Worrall <jworrall@alaska.net> wrote:
> I would think it important to use sterile gel just from a medical legal
> point of view even if there were no concerns about nonsterile gel
> contributing to an infection. The same concerns may not exist in Malaysia.
> The only invasive procedure I am involved with is providing ultrasound
> guidance for amniocentesis. I use nonsterile gel when I am first scanning,
> and when the ob doctor is picking a spot. Then, while he is prepping the
> abdomen with Betadine, I place the transducer in a sterile sheath and apply
> sterile gel to the outside of the sheath. Then I try to follow the passage
> of the needle or locate the needle once it is in place.
>
> Allen
>> ----- Original Message -----
> From: "DuBose, Terry" <DuboseTerryJ@uams.edu>
> To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net>
> Sent: Tuesday, October 03, 2006 5:28 AM
> Subject: RE: US guided procedures
>
> > We do a betadine scrub before any "needle work", and use sterile gel.
> > Is it necessary, I am not sure of that, but it is safest to preclude
> > infections. There is considerable literature that gel can transmit
> > infections... see:
> >
> > http://www.hc-sc.gc.ca/dhp-mps/medeff/advisories-avis/prof/2004/ultrasou
> > nd_2_nth-ah_e.html
> >
> > Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM
> >
> > Associate Professor & Director
> > Diagnostic Medical Sonography Program
> > University of Arkansas for Medical Sciences, CHRP
> > 4301 West Markham St. Mail Slot #563
> > Little Rock, Arkansas, 72205 USA
> > 501-686-6510 or 501-686-5948
> > DuBoseTerryJ@UAMS.edu
> > http://www.uams.edu/chrp/sonography/
> > http://www.obgyn.net/us/panel/panel.htm
> > http://www.io.com/~dubose/
> > ---------------------------------------------------------------
> >
> > ---------------------------------------------------------------
> >
> > ---------------------------------------------------------------
> >
> > -----Original Message-----
> > From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of
> > HowM
> > Sent: Tuesday, October 03, 2006 7:47 AM
> > To: Multiple recipients of list ULTRASOUND
> > Subject: US guided procedures
> >
> > Hi Dr Udayakumar and Professor Terry J. DuBose,
> >
> > During US guided procedures, is it necessary to use STERILE gel ?
> > STERILE gel is more difficult to come by and it is expensive.
> >
> > MHFoo
> > Malaysia
> >
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