REGULAR CONTENT
Final ID
645
Type
Educational Exhibit-Poster Only
Authors
K Welch1, W Lea1, A Fairchild1, S White1, S Tutton1
Institutions
1Medical College of Wisconsin, Milwaukee, WI
Purpose
Identify best practice recommendations for sterile room and patient preparation in complex image guided interventions performed in the CT suite.
Materials & Methods
Over past decades, increasingly complex Interventional procedures have been performed in the CT environment. Traditionally, biopsies, abscess drainage catheter placements, and pain injections were performed. In recent years, more complex interventions are being performed with CT-guidance including percutaneous ablation procedures, screw fixations, sacroplasty, and osteoplasty (1-4). Soloman and Silverman (5) reported such interventions require intra-procedural targeting, multiplanar guidance, and post procedure imaging where CT and CT fluoroscopy have proven essential. While CT is superior for these complex interventions, the environment was not designed to the strict sterile conditions of the operating room (OR).
Results
The National Academy of Sciences / National Research Council categorize procedures into four categories: clean, clean-contaminated, contaminated, and dirty (6). Clean and clean-contaminated must be performed under absolute sterile technique, modeling the OR (7). However, CT suites were not constructed to perform these complex interventional procedures. A unique aspect during CT procedures is the movement of the patient in and out of the gantry. Maintaining sterile integrity of accessory equipment needed for these procedures including ablation probes and cables, grounding pads, and hardware is a challenge and poses a safety concern. Strategies to address these obstacles including patient prep, gantry, and equipment draping protocols will be presented.
Conclusions
Interventional Radiology is performing increasingly complex procedures in the CT environment. Oncologic patients, often immunosuppressed along with the implantation of hardware demand absolute sterile technique. Although many institutions are moving their suites 'behind the red line', there is a need for updated sterile techniques for increasingly complex interventional procedures performed within CT.
Final ID
645
Type
Educational Exhibit-Poster Only
Authors
K Welch1, W Lea1, A Fairchild1, S White1, S Tutton1
Institutions
1Medical College of Wisconsin, Milwaukee, WI
Purpose
Identify best practice recommendations for sterile room and patient preparation in complex image guided interventions performed in the CT suite.
Materials & Methods
Over past decades, increasingly complex Interventional procedures have been performed in the CT environment. Traditionally, biopsies, abscess drainage catheter placements, and pain injections were performed. In recent years, more complex interventions are being performed with CT-guidance including percutaneous ablation procedures, screw fixations, sacroplasty, and osteoplasty (1-4). Soloman and Silverman (5) reported such interventions require intra-procedural targeting, multiplanar guidance, and post procedure imaging where CT and CT fluoroscopy have proven essential. While CT is superior for these complex interventions, the environment was not designed to the strict sterile conditions of the operating room (OR).
Results
The National Academy of Sciences / National Research Council categorize procedures into four categories: clean, clean-contaminated, contaminated, and dirty (6). Clean and clean-contaminated must be performed under absolute sterile technique, modeling the OR (7). However, CT suites were not constructed to perform these complex interventional procedures. A unique aspect during CT procedures is the movement of the patient in and out of the gantry. Maintaining sterile integrity of accessory equipment needed for these procedures including ablation probes and cables, grounding pads, and hardware is a challenge and poses a safety concern. Strategies to address these obstacles including patient prep, gantry, and equipment draping protocols will be presented.
Conclusions
Interventional Radiology is performing increasingly complex procedures in the CT environment. Oncologic patients, often immunosuppressed along with the implantation of hardware demand absolute sterile technique. Although many institutions are moving their suites 'behind the red line', there is a need for updated sterile techniques for increasingly complex interventional procedures performed within CT.