Summary
International guideline recommendations vary on the use of sterile gowns during spinal
anaesthesia. There is limited evidence of benefit for their routine use and debate about environmental, financial
and clinical costs and benefits. Updated, evidence-informed, consensus-based recommendations on the
essential infection prevention measures for single-shot spinal anaesthesia are required to balance the need to
maintain high standards of infection prevention with proportionate and sustainable practice.
This consensus statement defines the essential aseptic measures for single-shot spinal anaesthesia
in uncomplicated adult patients. While the routine use of sterile gowns should not be considered mandatory,
core aseptic practices such as effective hand hygiene and facemask use are essential. These recommendations
support a proportionate, sustainable approach to infection prevention. Clinicians may use this guidance to
inform safe, evidence-aligned and environmentally responsible anaesthetic practice.