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Anaesthesia 2012 Hartle et al. | Checking anaesthetic equipment should also be kept with each anaesthetic machine to record the daily presession check and weekly check of the oxygen failure alarm. Modern anaesthesia workstations may record electronic self tests internally. Such records should be retained for an appropriate time. Documentation of the routine checking and regular servicing of anaesthetic machines and patient breathing systems should be sufficient to permit audit on a regular basis. Recovery There must be clear departmental procedures for the daily and other checks of equipment that is used in recovery. This may also include preuse checks of patient-controlled analgesia and epidural pumps, etc. [20]. Disclaimer The AAGBI cannot be held responsible for failure of any anaesthetic equipment as a result of a defect not revealed by these procedures. References 1. National Patient Safety Agency. WHO Surgical Safety Checklist NPSA ⁄ 2009 ⁄ PSA002 ⁄ U1, January 2009, NPSA. http://www.nrls.npsa.nhs.uk/resources/ ?entryid45=59860 (accessed 09 ⁄ 04 ⁄ 12). 2. Cassidy CJ, Smith A, Arnot-Smith J. Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006–2008. Anaesthesia 2011; 66: 879–88. 3. Royal College of Anaesthetists. CCT in Anaesthetics Annex B Basic Level Training Edition 2 Version 1.2, August 2010. http://www.rcoa.ac.uk/index.asp?PageID=1479 (accessed 29 ⁄ 01 ⁄ 2012). 4. Association of Anaesthetists of Great Britain & Ireland. Safe Management of Anaesthetic Related Equipment, 2009. http://www.aagbi.org/publications/guidelines/docs/safe_management_2009.pdf (accessed 29 ⁄ 01 ⁄ 2012). 5. NHS Litigation Authority. NHSLA Risk Management Standards for Acute Trusts Primary Care Trusts and Independent Sector Providers of NHS Care, January 2010. London: NHSLA, 2010. 6. NHS Quality Improvement Scotland. Clinical Standards for Anaesthesia July 2003. http://www.nhshealthquality.org/nhsqis/files/ANAES_STND_JUL03.pdf (accessed 29 ⁄ 01 ⁄ 2012). 7. Medicines and Healthcare products Regulatory Agency. MDA ⁄ 2005 ⁄ 062 07 November 2004 http://www.mhra.gov.uk/Publications/Safetywarnings/MedicalDeviceAlerts/CON2022493 (accessed 29 ⁄ 01 ⁄ 2012). 8. Medicines and Healthcare products Regulatory Agency. MDA ⁄ 2010 ⁄ 036 06 May 2010 http://www.mhra.gov.uk/Publications/Safetywarnings/MedicalDeviceAlerts/ CON081785 (accessed 29 ⁄ 01 ⁄ 2012). 9. Australian and New Zealand College of Anaesthetists. Recommendations on Checking Anaesthesia Delivery Systems, 4.2.3.4.2, 2003. http://www.anzca.edu.au/ resources/professional-documents/ps31.html (accessed 29 ⁄ 01 ⁄ 2012). 14 Anaesthesia ª 2012 The Association of Anaesthetists of Great Britain and Ireland
Hartle et al. | Checking anaesthetic equipment Anaesthesia 2012 10. Medicines and Healthcare products Healthcare Regulatory Agency. MDA ⁄ 2010 ⁄ 052 02 June 2010 http://www.mhra.gov.uk/Publications/Safetywarnings/MedicalDeviceAlerts/CON085024 (accessed 29 ⁄ 01 ⁄ 2012). 11. Medicines and Healthcare products Regulatory Agency. MDA ⁄ 2003 ⁄ 039 06 November 2003 http://www.mhra.gov.uk/Publications/Safetywarnings/Medical DeviceAlerts/CON008613 (accessed 29 ⁄ 01 ⁄ 2012). 12. Medicines and Healthcare products Regulatory Agency. MDA ⁄ 2011 ⁄ 108 01 December 2011 http://www.mhra.gov.uk/Publications/Safetywarnings/MedicalDeviceAlerts/ CON137664 (accessed 29 ⁄ 01 ⁄ 2012). 13. Medicines and Healthcare products Regulatory Agency. MDA ⁄ 2010 ⁄ 21, 10 March 2010. http://www.mhra.gov.uk/Publications/Safetywarnings/MedicalDeviceAlerts/ CON076104 (accessed 29 ⁄ 01 ⁄ 2012). 14. Association of Anaesthetists of Great Britain & Ireland. Standards of Monitoring during Anaesthesia and Recovery 4, 2007. http://www.aagbi.org/publications/guidelines/ docs/standardsofmonitoring07.pdf (accessed 29 ⁄ 01 ⁄ 2012). 15. Difficult Airway Society. Recommended Equipment for Management of Unanticipated Difficult Intubation, July 2005. http://www.das.uk.com/equipmentlistjuly2005.htm (accessed 29 ⁄ 01 ⁄ 2012). 16. Safe Anaesthesia Liaison Group. Guaranteeing Drug Delivery in Total Intravenous Anaesthesia, September 2009. http://www.aagbi.org/news/docs/tiva_infonov09.pdf (accessed 29 ⁄ 01 ⁄ 2012). 17. Association of Anaesthetists of Great Britain & Ireland. Management of a Malignant Hyperthermia Crisis, 2007. http://www.aagbi.org/publications/guidelines/docs/ malignanthyp07amended.pdf (accessed 29 ⁄ 01 ⁄ 2012). 18. Association of Anaesthetist of Great Britain & Ireland. Management of Severe Local Anaesthetic Toxicity 2, 2010. http://www.aagbi.org/publications/guidelines/docs/ standardsofmonitoring07.pdf (accessed 29 ⁄ 01 ⁄ 2012). 19. Association of Anaesthetists of Great Britain & Ireland. Infection Control in Anaesthesia 2, 2008. http://www.aagbi.org/publications/guidelines/docs/infection_control_08.pdf (accessed 29 ⁄ 01 ⁄ 2012). 20. Association of Anaesthetists of Great Britain & Ireland. Immediate Post anaesthetic Recovery, 2002. http://www.aagbi.org/publications/guidelines/docs/postanaes02.pdf (accessed 29 ⁄ 01 ⁄ 2012). Anaesthesia ª 2012 The Association of Anaesthetists of Great Britain and Ireland 15
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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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Anaesthesia 2015 Barker et al. | Gu
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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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21 Portland Place, London, W1B 1PY
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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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Anaesthesia, 2007, 62, pages 1199-1
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Anaesthesia, 2007, 62, pages 1199-1
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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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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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Domain D: maintaining trust Attribu
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