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Lipid emulsion, dantrolene and sugammadex may all be useful in anaesthetic emergencies. These
should be immediately available on the delivery suite and location of these drugs should be clearly
identified. Local anaesthetic and opioid solutions intended for epidural use should be available and
stored separately from intravenous fluids to minimise the risk of accidental intravenous administration
of such fluids.
All units that care for high-risk patients should be able to access level-2 HDU care on site (see
Section 4).
Accommodation
All consultant obstetric units should include dedicated office space for the sole use of the anaesthesia
team on the delivery suite, or close enough for the resident anaesthetist to be able to work there
between cases. This space should have adequate information technology facilities for both trainee
and trained staff to be able to deal with emails, complete mandatory online training, access journals
and search engines via the internet, complete portfolios and enter audit-related data. Local
multidisciplinary evidence-based guidelines must be available in the office. The office space, facilities
and furniture should comply with the standards recommended by AAGBI guidelines [53].
A library of specialist reference books/journals should be available. There should be a separate
anaesthetic consultants’ office available to allow teaching, assessment and appraisal, that complies
with AAGBI guidelines [53].
A communal rest-room in the delivery suite should be provided to enable staff of all specialities to
meet. A seminar room(s) must be available for training, teaching and multidisciplinary meetings.
We strongly support the provision of an on-call room containing a bed as there is good evidence that
even short periods of sleep improve performance during nightshift work (regardless of the length of
the shift) [8, 54].
Where a consultant is required to be resident, appropriate on-call accommodation should be provided
[55].
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