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Many burn-injured patients will require frequent sedation or anaesthesia for procedures outside the operating theatre. These should take place in a specified location that is provided with all the equipment required for the safe delivery of anaesthesia and to meet minimum monitoring standards.5,23,27
Equipment, such as TV screens and tablet computers, for distraction during painful procedures, including dressing changes, should be considered.28,29,30
Temperature monitoring equipment should be available and easily accessible.15,19,24
Active warming equipment should be available and easily accessible, including warmed blankets for body areas not being operated on, forced-air warming devices15,19,24,33 and devices for heating mattresses.26
Consideration should also be given to the provision of radiant heaters and more sophisticated warming devices.15
Warmed intravenous fluids should be available.15,26
For burn and plastic surgery patients, mechanical methods of VTE prophylaxis, including graduated compression stockings, intermittent pneumatic compression devices, and venous foot pumps, should be available for any procedure that lasts more than one hour, and for all patients receiving general anaesthesia.26,34
Equipment for blood transfusion should be available, including rapid transfusion devices.
Point of care testing for coagulation and haemoglobin, including thromboelastometry, could be considered to allow targeted use of blood products in major surgery for burns.35
There should be at least one readily available portable storage unit with specialised equipment for management of the difficult airway in every theatre suite.27,28,29 In addition, a fibreoptic laryngoscope should also be readily available.