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Young people have additional needs and may wish to speak to the anaesthetist or another member of staff without direct parental presence.62,89 Anaesthetists should make it clear that they are willing to speak with young people on their own, on req...

Young people have additional needs and may wish to speak to the anaesthetist or another member of staff without direct parental presence.^62,89 Anaesthetists should make it clear that they are willing to speak with young people on their own, on request.

Chapter 11: Guidelines for the Provision of Anaesthesia Services for Inpatient Pain Management 2022

Inpatient pain services (IPS) should be staffed by multidisciplinary teams led by appropriately trained consultant or SAS anaesthetists. The minimum training requirement for new appointments to IPS lead roles is Royal College of Anaesthetists higher pain training.³² Advanced pain training, or its equivalent, should be considered optimal.

Chapter 15: Guidelines for the Provision of Anaesthesia Services for Vascular Procedures 2022

Anaesthesia for all patients undergoing major vascular surgery should be provided by or directly supervised by an anaesthetist suitably qualified, trained and experienced in vascular anaesthesia. This will be a consultant or other autonomously practicing vascular anaesthetist, who has overall responsibility for the patient’s care. ¹⁸

Chapter 6: Guidelines for the Provision of Anaesthesia Services for Day Surgery 2025

High-quality anaesthesia is pivotal to achieving successful outcomes following day surgery. The majority of anaesthesia for day surgery should be delivered by consultants or autonomously practising anaesthetists. Staff grade, associate specialist and specialty doctors and experienced trainee anaesthetists may also provide anaesthesia for day surgery. However, these doctors should be suitably experienced and skilled in techniques appropriate to the practice...

Royal College of Anaesthetists’ response to the Department of Health consultation, ‘Promoting professionalism, reforming regulation’

Your anaesthetic for heart surgery

This leaflet gives you information about your anaesthetic for adult heart (cardiac) surgery and what you can expect before, during and after your operation.

DHSC: response to Introducing ‘opt-out’ consent for organ and tissue donation in England

The Royal College of Anaesthetists has responded to the Department of Health and Social Care consultation ‘Introducing ‘opt-out’ consent for organ and tissue donation in England’

Event Clinical Content Lead

Lead in the design of the programme of a specific College educational event.

POM Journal Watch: Summer 2024

TRIPOM summarise recent papers and articles on perioperative medicine from across different medical publications.

Dr Jaimin Arya, ST6, East Midlands Deanery

Perioperative Journal Watch is written by TRIPOM (trainees with an interest in perioperative medicine) and is a brief distillation of recent important papers and articles on perioperative medicine from across the spectrum of medical publications.

NELA into the second decade

As NELA enters its second decade, it's important to look at persisting challenges as well as successes, and consider where improvement efforts should now be concentrated. This article highlights three areas of emphasis from Year 10 (2023) of the audit.

The National Emergency Laparotomy Audit (NELA) has been a real success story – engaging with clinical teams and feeding back high-quality comparative process and outcomes data to improve care.^1,2,3 As NELA enters its second decade, it is important to look at persisting challenges as well as successes, and consider where improvement efforts should now be concentrated. This article highlights three areas of emphasis from Year 10 (2023) of the audit.

Infection and sepsis management

Successive NELA reports have highlighted failings in this area – with many patients recorded as having sepsis at admission and/or at time of the decision to operate (DTO), but seemingly poor timeliness of care in terms of both antibiotic administration and definitive source control. Closer examination reveals potentially missed opportunities to streamline decision-making ‘upstream’ of the DTO. Year 8 data³ shows that the median time from arrival in hospital to arrival in theatre for those with sepsis at time of arrival was 15.6 hours. Fewer than a quarter of those with sepsis on arrival at hospital received antibiotics within an hour. This finding might be partially explained by an over-interpretation of the term ‘sepsis’.

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