April 16, 2026 · Anaesthesia · DOI: 10.1111/anae.70212

Use of sterile gowns for single-shot spinal anaesthesia: consensus guidelines from the Association of Anaesthetists, Royal College of Anaesthetists, Obstetric Anaesthetists' Association, Regional Anaesthesia UK, College of Anaesthesiologists of Ireland and Australian and New Zealand College of Anaesthetists

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The authors aimed to establish updated, evidence-informed consensus guidelines regarding the use of sterile gowns in single-shot spinal anaesthesia, amidst varying international recommendations and limited evidence of their routine necessity. Through a comprehensive literature review and a modified Delphi process involving experts, they concluded that while the routine use of sterile gowns is not mandatory for uncomplicated adult patients, essential aseptic practices like hand hygiene and facemask use remain critical for infection prevention. This guidance seeks to balance high standards of infection control with practical and sustainable anaesthetic practices.

Caroline Phillips, Manpreet Bahra, Yavor Metodiev, James H Bamber, Dónall Ó Cróinín, Li Fang, Lucy Brooks, Helgi Jóhannsson, Nat Haslam, Archana Shrivathsa, Paul Southall, Cliff Shelton, Delphi collaborators

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