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Guidelines: Day case and short stay surgery ..................................................................................................................................... language. This is particularly important in helping children understand the planned procedure and what is to follow. Information provided in writing before the day of surgery also helps. A patient about to undergo elective surgery often has contradicting feelings. On the one hand they are glad that the surgery will cure their medical problem and provide a life enhancing experience. On the other hand they are riddled with innumerable anxieties and although it might seem routine and straightforward to the doctor, the patient will inevitably view it all very differently. No patient expects surgery to be actually enjoyable, but what is most appreciated is information delivered by a respected, highly trained professional, who is empathetic and regards the patient as a person and not merely as a statistic. An information leaflet designed to help patients prepare themselves for day surgery is available on the BADS website [59]. References 1 Department of Health. The NHS Plan. A Plan for Investment. A Plan for Reform. London: DoH, 2000. 2 NHS Institute for Innovation and Improvement. Better Care, Better Value Indicators. http://www.productivity.nhs.uk (accessed 03 ⁄ 01 ⁄ 2011). 3 Department of Health NHS Modernisation Agency. 10 High Impact Changes for Service Improvement and Delivery, 2004. http://www.ogc.gov.uk/documents/ Health_High_Impact_Changes.pdf (accessed 03 ⁄ 01 ⁄ 2011). 4 Department of Health. Day surgery: Operational Guide. Waiting, Booking and Choice, 2002. http://www.dh.gov.uk/dr_consum_dh/groups/dh_digitalassets/ @dh/@en/documents/digitalasset/dh_4060341.pdf (accessed 03 ⁄ 01 ⁄ 2011). 5 NHS Institute for Innovation and Improvement. Focus On: Cholecystectomy. Coventry: NHS Institute for Innovation and Improvement, 2006. 6 Association of Anaesthetists of Great Britain and Ireland. Pre-operative Assessment and Patient Preparation – The Role of the Anaesthetist 2. London: AAGBI, 2010. 7 British Association of Day Surgery. Ten Dilemmas in Preoperative Assessment for Day Surgery. London: BADS, 2009. 8 British Association of Day Surgery. Organisational Issues in Pre Operative Assessment for Day Surgery. London: BADS, 2010. 9 British Association of Day Surgery. Ten More Dilemmas in Day Surgery. London: BADS, 2008. 10 British Association of Day Surgery. Nurse Led Discharge. London: BADS, 2009. 11 British Association of Day Surgery. BADS Directory of Procedures, 3rd edn. London: BADS, 2009. Ó 2011 The Authors 20 Anaesthesia Ó 2011 The Association of Anaesthetists of Great Britain and Ireland
Guidelines: Day case and short stay surgery ..................................................................................................................................... 12 NHS Enhanced Recovery Partnership Programme. Delivering Enhanced recovery. Helping Patients to Get Better Sooner After Surgery, 2010. http://www.dh.gov.uk/ dr_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/ dh_115156.pdf (accessed 03 ⁄ 01 ⁄ 2011). 13 Ansell GL, Montgomery JE. Outcome of ASA III patients undergoing day case surgery. British Journal of Anaesthesia 2004; 92: 71–4. 14 Aldwinckle RJ, Montgomery JE. Unplanned admission rates and post discharge complications in patients over the age of 70 following day case surgery. Anaesthesia 2004; 59: 57–9. 15 Canet J, Raeder J, Rasmussen LS, et al. Cognitive dysfunction after minor surgery in the elderly. Acta Anaesthesiologica Scandinavica 2003; 47: 1204–10. 16 Davies KE, Houghton K, Montgomery JE. Obesity and day-case surgery. Anaesthesia 2001; 56: 1112–5. 17 Lewis S, Stocker M, Houghton K, Montgomery JE. A patient survey to determine how day surgery patients would like preoperative assessment to be conducted. Journal of One-day Surgery 2009; 19: 32–6. 18 National Institute for Health and Clinical Excellence. NICE Clinical Guideline 3 — Pre-operative tests. The Use of Routine Preoperative Tests for Elective Surgery, 2003. http://www.nice.org.uk/CG003 (accessed 03 ⁄ 01 ⁄ 2011). 19 Chung F, Yuan H, Yin L, Vairavanathan S, Wong DT. Elimination of preoperative testing in ambulatory surgery. Anesthesia and Analgesia 2009; 108: 467–75. 20 Smith I. Emergency day surgery. Journal of One-day Surgery 2009; 19: 2–3. 21 Bhattacharyya M, Gerber B. Minimally-invasive surgical repair of ruptured Achilles tendon as a day case procedure with early full weight bearing. Journal of One-day Surgery 2007; 17: 70–5. 22 Howells N, Tompsett E, Moore A, Hughes A, Livingstone J. Day surgery for trauma patients. Journal of One-day Surgery 2009; 19: 23–6. 23 Mayell AC, Barnes SJ, Stocker ME. Introducing emergency surgery to the day case setting. Journal of One-day Surgery 2009; 19: 10–3. 24 Miyagi K, Yao C, Lazenby K, Himpson R, Ingham Clark CL. Use of the day surgery unit for emergency surgical cases. Journal of One-day Surgery 2009; 19: 5–8. 25 Curtis MJ, Samsoon G, Parmar N. Fixation of clavicle fractures: the role of day surgery? Journal of One-day Surgery 2004; 14: 89–90. 26 British Association of Day Surgery. Examples of Useful Patient Documentation. http://www.bads.co.uk/bads/joomla/index.php?option=com_content&view= article&id=60&Itemid=95 (accessed 09 ⁄ 10 ⁄ 2010). 27 Royal College of Anaesthetists and Association of Anaesthetists of Great Britain and Ireland. You and Your Anaesthetic. Information to Help Patients Prepare Ó 2011 The Authors Anaesthesia Ó 2011 The Association of Anaesthetists of Great Britain and Ireland 21
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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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44. Edholm D, Kullberg J, Haenni A,
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75. McKay RE, Malhotra A, Cakmakkay
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21 Portland Place, London, W1B 1PY
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Out of Hours Activity (Anaesthesia)
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Considerations for anaesthetists Th
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OAA / AAGBI Guidelines for Obstetri
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Contents 1. Key recommendations 2 2
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2. Introduction This is the third v
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Recommendations Medical staff The t
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appointed directly from other count
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Peripartum care Pre-operative asses
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Intravenous patient-controlled opio
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depression. In the absence of contr
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of clinical deterioration, as recom
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5. Training and education Each obst
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• Skills and drills training: ana
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• The midwife caring for a woman
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7. Support services, equipment, fac
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Equipment for PCA must be available
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8. The future The delivery of healt
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The following national guidelines s
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19. Obstetric Anaesthetists’ Asso
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At the first meeting held on 9 th M
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Methods to estimate/establish publi
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Recommendations The WP recommends:
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OPTION 3 - PRESUMED CONSENT. ‘Pre
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Power of Attorney) while requiring
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Needle-stick injury and HIV testing
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egain capacity, and the absence of
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treatment if it was understood that
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Management of hypertension before e
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AAGBI Safety Guideline Management o
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Malignant Hyperthermia Crisis Task
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MEMBERSHIP OF THE WORKING PARTY Dr
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Section 1 Recommendations 1. Transf
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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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Membership of the Working Party Dr
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Infection control in anaesthesia An
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Guidelines Immediate post-anaesthes
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The Royal College of Anaesthetists
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