Pentland Product Range » Theatre and Anaesthetic Products » PAL Sleeve – Pre-Anaesthetic Limb Sleeve

PAL Sleeve – Pre-Anaesthetic Limb Sleeve

Facilitates the preparation of any limb prior to surgery.


The PAL Sleeve – Pre-Anaesthetic Limb Sleeve – is designed to facilitate preparation of any limb prior to surgery. The longer is sleeve is applied to the limb, with the disinfectant in place, the more effective the sleeve is in the reduction of skin bacteria. The sleeve is supplied sterile in sealed packaging. Once the package is opened the sleeve is slid onto the leg and the upper seal is positioned adjacent to the tourniquet as high up on the leg as possible.

Click here for an article on the PAL Sleeve

AfPP Procurement Journal May 2017, featuring the PAL Sleeve

The sleeve is used prior to patient anaesthesia in the pre-op space, allowing the patient to cooperate wherever possible. This factor eliminates the need for potentially hazardous patient handling. When the sleeve is in place, the  skin prep can be introduced to the sleeve. This is achieved by lift the cover off the port and introducing the preparation agent. The cover is then replaced. The patient can then assist in ensuring that the entire leg area is coated. The skin preparation is assisted by the sponge, which is found sterile as part of of the sleeve.

Key features

  • Reduces costly OR time
  • Reduces Wastage
  • Ten Times Reduction in Skin Bacteria Prior to Surgery

The PAL Sleeve Limb Sterilisation in Theatre

Once the patient has been moved into the theatre, the limb is exposed. Until this time, the limb has been kept completely sterile. The limb is exposed by peeling off the distal end of the sleeve through a series of perforations. The theatre staff then grasp either side of the sleeve and pull it proximally. This will push the toes through the second seal. The toes can then be grasped by the surgeon and lifted whilst the theatre staff keep pulling the sleeve. This is continued until the two rubber seals are adjacent and the sleeve is folded back over the tourniquet, at which point the drape can be applied. It is essential that the blue seal is not touched as this maintains the sterile nature of the sleeve and leg. The draped leg is then ready for surgery.