Where scheduled procedures cannot be accommodated within normal list times, anaesthesia departments should make arrangements for anaesthetists to be relieved by a colleague.8
The IPS should consider facilitating anaesthetists in training to participate in inpatient pain audits and research as part of their training.57
A Royal College of Anaesthetists/Difficult Airway Society airway lead should be appointed in all hospitals providing anaesthetic services.7
Options for anaesthesia and all aspects of perioperative care, including risks and benefits, should be discussed with the patient by the responsible anaesthetist.35
Anaesthetists should actively engage in planning services with significant regional anaesthesia requirements. They should be actively involved in policy decisions, service improvements and equipment purchasing related to regional anaesthesia.
Association of Anaesthetists Consensus guidelines on regional anaesthesia for patients at risk of lower limb compartment syndrome should be followed. Discussion of risk with the patient should occur where possible.
All anaesthetists involved in the care of pregnant and breastfeeding women should be competent to deliver high-quality and safe anaesthetic care in this population.54
Anaesthesia for ECT is frequently performed in remote locations. Ideally, a consultant or an autonomously practising anaesthetist (see Glossary) should provide general anaesthesia. Appropriately trained recovery and operating department staff should be provided, and the guidance provided for anaesthetic provision in remote sites should be followed.69
