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9. List of recommended guidelines Departments should have written guidelines, setting out local standards of care (based on national standards where these exist), including as a minimum the following (listed alphabetically): • Analgesia post-caesarean section (including TAP blocks) • Antacid prophylaxis for labour and delivery • Antibiotic and thromboprophylaxis for caesarean section • Awareness under general anaesthesia • Cell salvage • Conditions requiring antenatal referral to the anaesthetist • Fasting before elective and emergency obstetric procedures • General anaesthesia for caesarean section • Guideline development • HDU admission and discharge criteria • High BMI (> 40 kg.m -2 ) • Intrauterine fetal resuscitation • Intravenous opioid PCA (Including remifentanil PCA if available locally) • Management of major haemorrhage (including trigger phrase to activate major haemorrhage transfusion protocol) • Management of pre-eclampsia and eclampsia • Modified Obstetric Early Warning Score use • Oral intake during labour • Provision of information to patients including: o Anaesthesia for caesarean section (general and regional) o Pain management in labour • Regional anaesthesia including: o Hypotension during regional block o Management of failed or inadequate regional block o Management of high regional block o Management of accidental dural puncture o Management of epidural haematoma o Management of post-dural puncture headache o Management of regional techniques in patients receiving thromboprophylaxis o Regional blocks for labour analgesia o Regional blocks for surgery • Recovery following general and regional anaesthesia • Resuscitation of the pregnant patient • Staffing levels • Skills and drills training. 28
The following national guidelines should be displayed or be immediately available in all locations where obstetric anaesthesia is delivered: • Adult resuscitation guidelines [Resuscitation Council (UK)] • Anaesthetic machine checklist [AAGBI] • Management of: o Anaphylaxis [AAGBI and/or Resuscitation Council (UK)] o Failed intubation [to be produced by Dififcult Airway Society/OAA] o Malignant hyperthermia [AAGBI] o Neonatal life support [Resuscitation Council (UK)] o Peri-arrest arrhythmias [Resuscitation Council (UK)] o Severe local anaesthetic toxicity [AAGBI] 29
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Recommendations for the Safe Transf
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CONTENTS Section I Summary and Reco
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SECTION II - BACKGROUND In 1996 the
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SECTION IV - ORGANISATION AND COMMU
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SECTION V - STAFFING REQUIREMENTS A
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A p p ropriate re s p i ra t o ry s
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SECTION VII - THE TRANSFER The tran
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SECTION VIII - EQUIPMENT AND DRUGS
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SECTION IX - EDUCATION AND TRAINING
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SECTION X - RESOURCE IMPLICATIONS F
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APPENDIX I INDICATIONS FOR INTUBATI
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APPENDIX III ADDITIONAL INFORMATION
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AAGBI SAFETY GUIDELINE Suspected An
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GUIDELINES Suspected Anaphylactic R
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Suspected anaphylactic reactions as
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Storage of Drugs in Anaesthetic Roo
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Storage of Drugs in Anaesthetic Roo
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This guideline was originally publi
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Anaesthesia 2015 Checketts et al. |
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Anaesthesia 2016, 71, 1503 Correcti
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Membership of the working party Dr
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1. Summary 1.1 Safety, quality and
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3. Responsibility of anaesthetists
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3.4 The Trust - Medical Devices Man
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4. Standards 4.1 Medical Devices Di
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5. Responsibility of manufacturers
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6. Choosing and trialling equipment
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equipment officer is encouraged to
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EU procurement thresholds Threshold
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When negotiating a purchasing agree
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9. Shared equipment Many types of e
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Third party servicing is another op
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11. Replacement 11.1 Planned equipm
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number of re-uses (e.g. re-usable L
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Where new equipment is purchased th
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14. Incident reporting and investig
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available from www.hse.gov.uk 14.4
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DB DoH EBME EC EU FRCA HN HSE IEC I
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8. OPSI. Statutory Instrument 2006
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Eire Tel: 00353 1 676 4971 Website:
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Peri-operative management of the ob
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Guidelines Peri-operative managemen
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Recommendations 1 Every hospital sh
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35 30 25 Prevalance (%) 20 15 10 5
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is an increased incidence of prolon
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Figure 2 Relationship between total
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techniques, and when used with neur
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Table 5 The STOP-BANG screening que
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Intra-operative care Preparation of
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Figure 3 Ramping position for obese
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eturn of airway reflexes with desfl
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Table 6 Dosing schedule for thrombo
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A review and meta-analysis by the S
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numbers of staff are needed to roll
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Table 7 Equipment for managing obes
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11. Schneider HJ, Glaesmer H, Klots
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75. McKay RE, Malhotra A, Cakmakkay
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Section 3 Introduction In 1997 it w
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This process may require many telep
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Section 6 Accompanying the patient
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Section 7 Monitoring, drugs and equ
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heavily congested areas, but not al
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APPENDIX 1 Departure checklist Do a
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13. Bercault N, Wolf M, Runge I, Fl
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21 Portland Place, London W1B 1PY T
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Membership of the Working Party Dr
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Infection control in anaesthesia An
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AAGBI SAFETY GUIDELINE Immediate Po
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Guidelines Immediate post-anaesthes
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The Royal College of Anaesthetists
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Contents ❚ Foreword 4 Introductio
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Introduction ❚ The Good Anaesthet
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Related guidelines and sources of i
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Domain A: knowledge, skills and per
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Domain B: safety and quality Attrib
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Domain C: communication, partnershi
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Domain D: maintaining trust Attribu
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Day Case and Short Stay Surgery 2 P
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GUIDELINES Day case and short stay
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Guidelines: Day case and short stay
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