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Correspondence  |   September 2002
Echo Bib
Author Affiliations & Notes
  • Theodore A. Alston, M.D., Ph.D.
    *
  • *Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Article Information
Correspondence
Correspondence   |   September 2002
Echo Bib
Anesthesiology 9 2002, Vol.97, 763. doi:
Anesthesiology 9 2002, Vol.97, 763. doi:
To the Editor:—
When intraoperative transesophageal echocardiography is planned, baseline images are often desirable before surgical incision, especially if electronic suppression of electrocautery interference is not available. However, out of fear of droplet contamination of the operative field, we had been reluctant to manipulate the echo probe before completion of surgical prepping and draping. Now we secure an additional interference-free imaging opportunity by hanging a barrier drape across the chin of the patient before the surgical skin preparation is started (fig. 1). Commercially available transparent drapes bearing an adhesive strip are convenient for this purpose. Sternal wound infections are rare, and intraoperative echocardiography is not a quantitatively obvious risk factor. However, any plausible measure should be taken against so dreaded a potential complication. 1 
Fig. 1. An echo bib in place. Rotated 180°, the drape can also serve as a lobster bib.
Fig. 1. An echo bib in place. Rotated 180°, the drape can also serve as a lobster bib.
Fig. 1. An echo bib in place. Rotated 180°, the drape can also serve as a lobster bib.
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Reference
Reference
Borer A, Gilad J, Meydan N, Riesenberg K, Schlaeffer F, Alkan M, Schlaeffer P: Impact of active monitoring of infection control practices on deep sternal infection after open-heart surgery. Ann Thorac Surg 2001; 72: 515–20Borer, A Gilad, J Meydan, N Riesenberg, K Schlaeffer, F Alkan, M Schlaeffer, P
Fig. 1. An echo bib in place. Rotated 180°, the drape can also serve as a lobster bib.
Fig. 1. An echo bib in place. Rotated 180°, the drape can also serve as a lobster bib.
Fig. 1. An echo bib in place. Rotated 180°, the drape can also serve as a lobster bib.
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