The Royal College of Anaesthetists is pleased to announce the publication of the 2022 edition of the Guidelines for the Provision of Anaesthetic Services.
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The College is pleased to announce that the Guidelines for Provision of Anaesthetic Services 2019 (GPAS) have now been published.
The British Society for Allergy and Clinical Immunology (BSACI) has published a new guideline for the evaluation and testing of patients with an unsubstantiated label of penicillin allergy.
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GPAS forms the basis of recommendations produced by the Royal College of Anaesthetists for anaesthetists with responsibilities for service delivery and for healthcare managers
The care of the critically ill woman in childbirth; enhanced maternal care 2018 has been published today.
Introduction
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...
Introduction
Infants, children, and young people have different requirements. There are marked developmental changes within the paediatric age range, and neonates, infants, and prepubertal children under the age of 8–12 years have particular anatomical and physiological differences. Doses of drugs and fluids need to be precisely calculated, and anaesthetic equipment for smaller children differs from that used in older children...
Introduction
Regional anaesthesia (RA) is an important component of anaesthetic practice. It includes neuraxial and peripheral nerve block techniques which may be used for either perioperative anaesthesia or analgesia, as well as other non-surgical indications such as chronic pain and traumatic rib fractures. The practice of RA has changed significantly, particularly over the past three decades.1 The introduction of...
Introduction
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...
Introduction
‘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...