Aseptic surgical antisepses are defined as an operation which requires the use of a sedative and/or an antiseptic agent.

The definition is based on a series of guidelines developed by the Indian government.

In the latest guidelines, the Indian Institute of Medical Sciences has said that the use, or lack thereof, of sedatives and/ or antiseptics in surgery is a contributory factor to asepotic failure.

It further states that in cases of severe bleeding, sedation, or other non-medication should be avoided.

It also says that “the possibility of infection due to the antisexant or other sedative should be ruled out”.

It further adds that the surgical intervention must be performed in a clean and sterile environment.

It also adds that “when surgical intervention is undertaken, prompt medical assessment of the patient is essential”.

The Indian Institute has issued the guidelines after a spate of cases in the state of Kerala where a total of 10 deaths were attributed to an anesthesiologist performing surgical antisepses.

Last month, a total 526 cases of anaesthesia-related anaphylaxis were reported in Kerala.

In February this year, four more deaths were reported from a similar case in Kerala after an anesthetic was administered to a patient suffering from a pulmonary embolism.