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Chapter 6: Guidelines for the Provision of Anaesthesia Services for Day Surgery 2025
Patients should be provided with information specific to their condition/indication for surgery in addition to information about day surgery. Clear and concise information given to patients at the right time and in the correct format is essential to facilitate good day surgery practice.5 This information should be provided before the day of surgery and may be given to patients...
Over the years both the College and the ME Association have been receiving a number of enquiries from patients living with ME/CFS bemoaning the lack of information on how anaesthesia might affect their condition, but also seeking reassurances that their needs in the perioperative period would be met with understanding and compassion.
The College acknowledged that there was not much in the way of information to support these patients nor the anaesthetists looking after them, and agreed that this gap needed to be addressed given the relatively high occurrence of the condition in the UK. Current reports estimate that there are 250,000 people living with ME/CFS at any one time in the UK, but this is likely to be a gross underestimate as traditionally it is poorly diagnosed, and many Long COVID patients fulfil ME/CFS diagnostic criteria. The most recent ONS survey reports 1.7 million people in the UK living with Long COVID.
This was new territory for the College, as producing information without a comprehensive body of evidence for such a poorly understood medical condition was something we had never done before.
While anaesthesia has always taken great care to tread the tightrope between training and patient safety, new technologies and innovation in education practices are further improving the risk-to-benefit ratio.
The acquisition and maintenance of airway skills are fundamental for all anaesthetists. A delicate balance exists between allowing the trainee to learn practical techniques and exposing patients to potential harm, a situation which is no greater than during airway management. Clinical pressures, demands on training time and reduced operating capacity since the COVID-19 pandemic have had a major impact on learning opportunities for anaesthetists in training.
In this article, we review some new technologies which are changing how airway management is taught.