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It is nearly two decades since it was widely reported that the outcome from abdominal aortic aneurysm (AAA) surgery was significantly worse in the UK than in comparable countries.1 The 2005 NCEPOD report Abdominal Aortic Aneurysm: A service in need of surgery2 subsequently led to a national Abdominal Aortic Aneurysm Quality Improvement Programme (AAAQIP) being introduced...
Neuroanaesthesia encompasses a wide range of emergency and elective work. Anaesthesia for intracranial oncology, vascular, hydrocephalus, trauma/neurotrauma, functional surgery, complex spinal surgery, as well as anaesthesia for diagnostic and interventional neuroradiological procedures, including MRI, all lie within the specialty.
Neuroanaesthesia is mainly delivered in neuroscience units, which may be based in specialist centres, teaching hospitals or district general hospitals...
The discipline of ophthalmic surgery encompasses the following areas: intraocular surgery, extraocular surgery, oculoplastic surgery, nasolacrimal surgery and orbital surgery. Ophthalmic surgery is undertaken in a wide variety of different settings, including multispecialty general hospitals, isolated units and large, single-specialty centres. All environments require appropriate staffing levels, skill mix and facilities. The ophthalmic anaesthetist has a key role in...
Cardiac anaesthesia services are provided for patients undergoing cardiac procedures. To reflect current practice, these guidelines have been more clearly divided to identify areas of differing requirement. Anaesthetists in cardiac surgical services are now more frequently required to provide anaesthesia for invasive cardiology procedures in the catheter laboratory. Intraoperative transoesophageal echocardiography is a specialist skill that cardiac anaesthetists are...
Thoracic anaesthesia services are provided for patients undergoing thoracic procedures. To reflect current practice, these guidelines have been more clearly divided to identify areas of differing requirement.
Thoracic surgery may include surgery on the lungs (including lung transplantation), pleura, thymus, oesophagus and other thoracic structures, as well as the chest wall. Less invasive video assisted surgery is now mainstream...
‘Emergency’ within this chapter applies to anaesthesia that is given in immediate (within minutes of a decision to operate) or urgent (within hours of a decision to operate) procedures as classified by the National Confidential Enquiry into Patient Outcome and Death (NCEPOD).
The provision of emergency anaesthesia differs from elective anaesthesia in that it is required 24/7. The demands...
