pdfjoiner

More documents

Recommendations

Info

Guidelines Immediate post-anaesthesia recovery 2013 Association of Anaesthetists of Great Britain and Ireland Membership of the Working Party: D. K. Whitaker (Chair), H. Booth, 3 P. Clyburn, W. Harrop-Griffiths, H. Hosie, 1 B. Kilvington, 3 M. MacMahon, P. Smedley 2 and R. Verma 4 1 Scottish Multiprofessional Anaesthetic Assistants Development Group 2 British Anaesthetic and Recovery Nurses Association 3 College of Operating Department Practitioners 4 Royal College of Anaesthetists Summary 1 After general, epidural or spinal anaesthesia, all patients should be recovered in a specially designated area (henceforth ‘post-anaesthesia care unit’, PACU) that complies with the standards and recommendations described in this document. 2 The anaesthetist must formally hand over the care of a patient to an appropriately trained and registered PACU practitioner. 3 Agreed, written criteria for discharge of patients from the PACU to the ward should be in place in all units. 4 An effective emergency call system must be in place in every PACU and tested regularly. Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation. © 2013 The Association of Anaesthetists of Great Britain and Ireland 1
Anaesthesia 2013 Whitaker et al. | Guidelines: Immediate post-anaesthesia recovery 5 No fewer than two staff (of whom at least one must be a registered practitioner) should be present when there is a patient in a PACU who does not fulfil the criteria for discharge to the ward. 6 All registered practitioners should be appropriately trained in accordance with the standards and competencies detailed in the UK National Core Competencies for Post Anaesthesia Care. 7 All patients must be observed on a one-to-one basis by an anaesthetist or registered PACU practitioner until they have regained control of their airway, have stable cardiovascular and respiratory systems and are awake and able to communicate. 8 All patients with tracheal tubes in place in a PACU should be monitored with continuous capnography. The removal of tracheal tubes is the responsibility of the anaesthetist. 9 There should be a specially designated area for the recovery of children that is appropriately equipped and staffed. 10 All standards and recommendations described in this document should be applied to all areas in which patients recover after anaesthesia, to include those anaesthetics given for obstetric, cardiology, imaging and dental procedures, and in psychiatric units and community hospitals. Only registered PACU practitioners who are familiar with these areas should be allocated to recover patients in them as and when required. 11 Patients’ dignity and privacy should be respected at all times but patients’ safety must always be the primary concern. 12 When critically ill patients are managed in a PACU because of bed shortages, the primary responsibility for the patient lies with the hospital’s critical care team. The standard of nursing and medical care should be equal to that in the hospital’s critical care units. 13 Audit and critical incident reporting systems should be in place in all PACUs. .................................................................................................... This is a consensus document produced by expert members of a Working Party established by the Association of Anaesthetists of Great Britain and Ireland (AAGBI). It has been seen and approved by the AAGBI Council. Accepted: 7 December 2012 2 © 2013 The Association of Anaesthetists of Great Britain and Ireland
Page 1 and 2:
Recommendations for the Safe Transf
Page 3 and 4:
CONTENTS Section I Summary and Reco
Page 5 and 6:
SECTION II - BACKGROUND In 1996 the
Page 7 and 8:
SECTION IV - ORGANISATION AND COMMU
Page 9 and 10:
SECTION V - STAFFING REQUIREMENTS A
Page 11 and 12:
A p p ropriate re s p i ra t o ry s
Page 13 and 14:
SECTION VII - THE TRANSFER The tran
Page 15 and 16:
SECTION VIII - EQUIPMENT AND DRUGS
Page 17 and 18:
SECTION IX - EDUCATION AND TRAINING
Page 19 and 20:
SECTION X - RESOURCE IMPLICATIONS F
Page 21 and 22:
APPENDIX I INDICATIONS FOR INTUBATI
Page 23 and 24:
APPENDIX III ADDITIONAL INFORMATION
Page 25 and 26:
AAGBI SAFETY GUIDELINE Suspected An
Page 27 and 28:
GUIDELINES Suspected Anaphylactic R
Page 29 and 30:
Suspected anaphylactic reactions as
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Storage of Drugs in Anaesthetic Roo
Page 57 and 58:
Storage of Drugs in Anaesthetic Roo
Page 59 and 60:
This guideline was originally publi
Page 61 and 62:
Anaesthesia 2015 Checketts et al. |
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Anaesthesia 2016, 71, 1503 Correcti
Page 71 and 72:
Membership of the working party Dr
Page 73 and 74:
1. Summary 1.1 Safety, quality and
Page 75 and 76:
3. Responsibility of anaesthetists
Page 77 and 78:
3.4 The Trust - Medical Devices Man
Page 79 and 80:
4. Standards 4.1 Medical Devices Di
Page 81 and 82:
5. Responsibility of manufacturers
Page 83 and 84:
6. Choosing and trialling equipment
Page 85 and 86:
equipment officer is encouraged to
Page 87 and 88:
EU procurement thresholds Threshold
Page 89 and 90:
When negotiating a purchasing agree
Page 91 and 92:
9. Shared equipment Many types of e
Page 93 and 94:
Third party servicing is another op
Page 95 and 96:
11. Replacement 11.1 Planned equipm
Page 97 and 98:
number of re-uses (e.g. re-usable L
Page 99 and 100:
Where new equipment is purchased th
Page 101 and 102:
14. Incident reporting and investig
Page 103 and 104:
available from www.hse.gov.uk 14.4
Page 105 and 106:
DB DoH EBME EC EU FRCA HN HSE IEC I
Page 107 and 108:
8. OPSI. Statutory Instrument 2006
Page 109 and 110:
Eire Tel: 00353 1 676 4971 Website:
Page 111 and 112:
Peri-operative management of the ob
Page 113 and 114:
Guidelines Peri-operative managemen
Page 115 and 116:
Recommendations 1 Every hospital sh
Page 117 and 118:
35 30 25 Prevalance (%) 20 15 10 5
Page 119 and 120:
is an increased incidence of prolon
Page 121 and 122:
Figure 2 Relationship between total
Page 123 and 124:
techniques, and when used with neur
Page 125 and 126:
Table 5 The STOP-BANG screening que
Page 127 and 128:
Intra-operative care Preparation of
Page 129 and 130:
Figure 3 Ramping position for obese
Page 131 and 132:
eturn of airway reflexes with desfl
Page 133 and 134:
Table 6 Dosing schedule for thrombo
Page 135 and 136:
A review and meta-analysis by the S
Page 137 and 138:
numbers of staff are needed to roll
Page 139 and 140:
Table 7 Equipment for managing obes
Page 141 and 142:
11. Schneider HJ, Glaesmer H, Klots
Page 143 and 144:
44. Edholm D, Kullberg J, Haenni A,
Page 145 and 146:
75. McKay RE, Malhotra A, Cakmakkay
Page 147 and 148:
21 Portland Place, London, W1B 1PY
Page 149 and 150:
Page 151 and 152:
Anaesthesia 2015 Barker et al. | Gu
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Out of Hours Activity (Anaesthesia)
Page 167 and 168:
Considerations for anaesthetists Th
Page 169 and 170:
OAA / AAGBI Guidelines for Obstetri
Page 171 and 172:
Contents 1. Key recommendations 2 2
Page 173 and 174:
2. Introduction This is the third v
Page 175 and 176:
Recommendations Medical staff The t
Page 177 and 178:
appointed directly from other count
Page 179 and 180:
Peripartum care Pre-operative asses
Page 181 and 182:
Intravenous patient-controlled opio
Page 183 and 184:
depression. In the absence of contr
Page 185 and 186:
of clinical deterioration, as recom
Page 187 and 188:
5. Training and education Each obst
Page 189 and 190:
• Skills and drills training: ana
Page 191 and 192:
• The midwife caring for a woman
Page 193 and 194:
7. Support services, equipment, fac
Page 195 and 196:
Equipment for PCA must be available
Page 197 and 198:
8. The future The delivery of healt
Page 199 and 200:
The following national guidelines s
Page 201 and 202:
19. Obstetric Anaesthetists’ Asso
Page 203 and 204:
Page 205 and 206:
At the first meeting held on 9 th M
Page 207 and 208:
Methods to estimate/establish publi
Page 209 and 210:
Recommendations The WP recommends:
Page 211 and 212:
Anaesthesia, 2007, 62, pages 1199-1
Page 213 and 214:
Anaesthesia, 2007, 62, pages 1199-1
Page 216 and 217:
OPTION 3 - PRESUMED CONSENT. ‘Pre
Page 218 and 219:
Power of Attorney) while requiring
Page 220 and 221:
Needle-stick injury and HIV testing
Page 222 and 223:
egain capacity, and the absence of
Page 224 and 225:
treatment if it was understood that
Page 226 and 227:
Page 228 and 229: Management of hypertension before e
Page 240 and 241: AAGBI Safety Guideline Management o
Page 242 and 243: Malignant Hyperthermia Crisis Task
Page 244 and 245: MEMBERSHIP OF THE WORKING PARTY Dr
Page 246 and 247: Section 1 Recommendations 1. Transf
Page 248 and 249: Section 3 Introduction In 1997 it w
Page 250 and 251: This process may require many telep
Page 252 and 253: Section 6 Accompanying the patient
Page 254 and 255: Section 7 Monitoring, drugs and equ
Page 256 and 257: heavily congested areas, but not al
Page 258 and 259: APPENDIX 1 Departure checklist Do a
Page 260 and 261: 13. Bercault N, Wolf M, Runge I, Fl
Page 262 and 263: 21 Portland Place, London W1B 1PY T
Page 264 and 265: Membership of the Working Party Dr
Page 266 and 267: Infection control in anaesthesia An
Page 276 and 277: AAGBI SAFETY GUIDELINE Immediate Po
Page 280 and 281: Whitaker et al. | Guidelines: Immed
Page 296 and 297: The Royal College of Anaesthetists
Page 299 and 300: Contents ❚ Foreword 4 Introductio
Page 301 and 302: Introduction ❚ The Good Anaesthet
Page 303 and 304: Related guidelines and sources of i
Page 305 and 306: Domain A: knowledge, skills and per
Page 311 and 312: Domain B: safety and quality Attrib
Page 317 and 318: Domain C: communication, partnershi
Page 323 and 324: Domain D: maintaining trust Attribu
Page 329 and 330:
Day Case and Short Stay Surgery 2 P
Page 331 and 332:
GUIDELINES Day case and short stay
Page 333 and 334:
Guidelines: Day case and short stay
Page 335 and 336:
Page 337 and 338:
Page 339 and 340:
Page 341 and 342:
Page 343 and 344:
Page 345 and 346:
Page 347 and 348:
Page 349 and 350:
Page 351 and 352:
Page 353 and 354:
Page 355 and 356:
Page 357 and 358:
Page 359 and 360:
Page 361:
The Association of Anaesthetists of
Page 364 and 365:
Page 366 and 367:
Anaesthesia 2012 Hartle et al. | Ch
Page 368 and 369:
Page 370 and 371:
Page 372 and 373:
Page 374 and 375:
Page 376 and 377:
Page 378 and 379:
Page 380:
show all

pdfjoiner

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?