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The following policies should be immediately and reliably available at sites where anaesthesia and sedation are provided: guidelines for anaesthetic machine check32 guidelines on the management of anaesthetic emergencies, including anaphylaxis,...
The following policies should be immediately and reliably available at sites where anaesthesia and sedation are provided:
Author: Dr Dave Murray, Consultant Anaesthetist South Tees NHS Trust; Chair NELA
The National Emergency Laparotomy Audit (NELA) is 10 years old this year, so this is a timely point to review progress, highlight achievements, and look at the persisting challenges ahead.
In the beginning
NELA was commissioned in 2012. One of the key pieces of evidence to support its funding was the paper published by the Emergency Laparotomy Network.1 This observational study of more than 1,800 patients highlighted a 15% mortality rate, but with a nine-fold variation in mortality across the 35 trusts. Consultant presence was 74% for surgeons and anaesthetist presence was 64%. Half the patients were admitted to critical care, and patients returning to the ward had a 6.7% mortality rate.
For ongoing management of major trauma patients there should be clear guidelines regarding decisions to transfer for definitive specialist intervention in co-ordination with regional trauma networks.67 ...
For ongoing management of major trauma patients there should be clear guidelines regarding decisions to transfer for definitive specialist intervention in co-ordination with regional trauma networks.67
All anaesthetic equipment should be checked before use in accordance with the Association of Anaesthetists published guidelines.32 Anaesthetic machine checks should be recorded in a log and on the anaesthetic chart. ...
All anaesthetic equipment should be checked before use in accordance with the Association of Anaesthetists published guidelines.32 Anaesthetic machine checks should be recorded in a log and on the anaesthetic chart.