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10. References 1. Association of Anaesthetists of Great Britain & Ireland and Obstetric Anaesthetists’ Association. Guidelines for Obstetric Anaesthesia Services. London: AAGBI, 1998. 2. Association of Anaesthetists of Great Britain & Ireland and Obstetric Anaesthetists’ Association. Guidelines for Obstetric Anaesthetic Services 2. London: AAGBI, 2005. 3. Maternity Critical Care Working Group. Providing Equity of Critical and Maternity Care for the Critically Ill Pregnant or Recently Pregnant Woman. London: Royal College of Anaesthetists, 2011. 4. Grocott MPW, Pearce RM. Perioperative medicine: the future of anaesthesia? British Journal of Anaesthesia 2012; 108: 723-6. 5. Obstetric Anaesthetists’ Association. Joint RCoA-OAA obstetric anaesthetic training survey 2010. http://www.oaa-anaes.ac.uk/content.asp?ContentID=452 (accessed 26/04/2013). 6. Obstetric Anaesthetists’ Association. OAA-AAGBI workload survey. http://www.oaaanaes.ac.uk/content.asp?ContentID=467 (accessed 19/03/2013). 7. Royal College of Obstetricians and Gynaecologists, Royal College of Anaesthetists, Royal College of midwives, Royal College Paediatrics and Child Health. Safer Childbirth: Minimum Standards for the Organization and Delivery of Care in Labour. London: RCOG Press, 2007. 8. Association of Anaesthetists of Great Britain & Ireland. Fatigue and Anaesthetists. London: AAGBI, 2004. 9. The King’s Fund. Safe Births: Everybody’s Business. London: The King’s Fund, 2008. 10. Audit Commission. Anaesthesia under Examination: the Efficiency and Effectiveness of Anaesthesia and Pain Relief Services in England and Wales. Oxford: Audit Commission, 1997. 11. Yentis SM, Robinson PN. Definitions in obstetric anaesthesia: how should we measure anaesthetic workload and what is ‘epidural rate’? Anaesthesia 1999; 54: 958–62. 12. Royal College of Obstetricians and Gynaecologists. High Quality Women’s Health Care: a Proposal for Change. London: RCOG Press, 2011. 13. College of Operating Department Practitioners. Staffing of obstetric theatres – a consensus statement. http://www.codp.org.uk/documents/Staffing%20of%20Obstetric%20Theatres.pdf (accessed 19/03/2013). 14. Association of Anaesthetists of Great Britain & Ireland. The Anaesthesia Team 3. London: AAGBI, 2010. 15. NHS Education for Scotland. Core competencies for anaesthetic assistants 2011 www.nes.scotland.nhs.uk/media/4239/anaesthetic_core_competencies_2011.pdf (accessed 19/03/2013). 16. Association of Anaesthetists of Great Britain & Ireland. Immediate Post-anaesthesia Recovery 2013. Anaesthesia 2013; 68: 288-97. 17. RCOG/CMACE. Joint Guideline Management of women with obesity in pregnancy. London: RCOG/CMACE, 2010. 18. Obstetric Anaesthetists’ Association. Referral to anaesthetists. http://www.oaaanaes.ac.uk/content.asp?ContentID=339 (accessed 19/03/2013). 30
19. Obstetric Anaesthetists’ Association. Information for mothers. http://www.oaaanaes.ac.uk/content.asp?ContentID=83 (accessed 19/03/2013). 20. Association of Anaesthetists of Great Britain & Ireland. Consent for Anaesthesia 2. London: AAGBI, 2006. 21. Jones L, Othman M, Dowswell T, et al. Pain management for women in labour: an overview of systematic reviews. http://www.thecochranelibrary.com/details/file/1598141/CD009234.html (accessed 19/03/2013). 22. National Institute for Health and Clinical Excellence. NICE Clinical Guideline 55. Intrapartum Care. London: NICE, 2007. [being updated] 23. Royal College of Anaesthetists. Raising the Standard: a Compendium of Audit Recipes. 3 rd Edition 2012. London: RCoA, 2012. 24. Royal College of Anaesthetists. NAP3 National Audit of Major Complications of Central Neuraxial Block in the United Kingdom, p75. London: RCoA, 2009. 25. Scott M, Stones J, Pane N. Antiseptic solutions for central neuraxial blockade: which concentration of chlorhexidine in alcohol should we use? British Journal of Anaesthesia 2009; 103: 456-57. 26. Hinova A, Fernando R. Remifentanil for labor analgesia. Anesthesia and Analgesia 2009; 109: 1925-29. 27. Muchatula NA, Kinsella SM. Remifentanil for labour analgesia: time to draw breath? Anaesthesia 2013; 68: 227- 35. 28. Obstetric Anaesthetists’ Association. Remifentanil. http://www.oaaanaes.ac.uk/content.asp?ContentID=333 (accessed 26/03/13). 29. National Institute for Health and Clinical Excellence. Caesarean section clinical guidelines CG132. http://www.nice.org.uk/CG132 (accessed 26/03/2013). 30. Association of Anaesthetists of Great Britain & Ireland. Preoperative Assessment and Patient Preparation. The Role of the Anaesthetist 2. London: AAGBI, 2010. 31. Association of Anaesthetists of Great Britain & Ireland. UK National Core Competencies for Post- Anaesthesia Care. London: AAGBI, 2013. 32. The Royal College of Anaesthetists. NAP3 full report. www.rcoa.ac.uk/document-store/nap3-fullreport (accessed 26/03/2013). 33. National Institute for Health and Clinical Excellence. Acutely ill patients in hospital clinical guidelines CG50. http://guidance.nice.org.uk/CG50 (accessed 26/03/2013). 34. Royal College of Physicians. National Early Warning Scores (NEWS). http://www.rcplondon.ac.uk/sites/default/files/documents/national-early-warning-scorestandardising-assessment-acute-illness-severity-nhs.pdf (accessed 26/03/2013). 35. Intensive Care Society. Levels of Critical care for Adult Patients. London: ICS, 2009. 36. Royal College of Anaesthetists. Curriculum for a CCT in Anaesthetics, 2 nd edn, London: RCoA, 2010. 37. General Medical Council. The Trainee Doctor. London: GMC, 2011. 31
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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 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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44. Edholm D, Kullberg J, Haenni A,
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75. McKay RE, Malhotra A, Cakmakkay
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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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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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