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As a medical student, someone once told me that helping patients stop smoking was the single best intervention available to us as doctors. I’ve never found a reference for that, but it stuck with me.
While I might not have the evidence for my claim, we do know that each year, smoking-related disease costs the NHS £2.6 billion and causes up to 76,000 deaths. The good news is that rates of smoking are decreasing each year, with the latest figure at 12.9%.
Aside from the general health benefits of quitting, several specific perioperative outcomes exist.
Chapter 5: Guidelines for the Provision of Emergency Anaesthesia Services 2024
The following policies and guidelines (see Glossary) should be immediately and reliably available at sites where emergency anaesthesia and sedation are provided:
- management and running of the emergency theatre, including an escalation plan for emergency theatre capacity and staffing5
- management of anaesthetic emergencies, including subspecialty emergencies
- difficult airway management, including the ‘can’t ventilate, can’t oxygenate’ scenario, fasting times...
Isolated elective orthopaedic units performing major inpatient surgery should have 24/7 access to all support services including acute pain services and critical care. Local guidelines should be in place to provide safe anaesthesia care which includes ...
Isolated elective orthopaedic units performing major inpatient surgery should have 24/7 access to all support services including acute pain services and critical care. Local guidelines should be in place to provide safe anaesthesia care which includes preassessment screening for risk stratification, transfer criteria and postoperative care facilities.
The clinical lead (see glossary) anaesthetist in burn and plastic surgery units will be responsible for the provision of service, teaching, production of guidelines, management, research, and audit, and be able to support quality improvement initiative...
The clinical lead (see glossary) anaesthetist in burn and plastic surgery units will be responsible for the provision of service, teaching, production of guidelines, management, research, and audit, and be able to support quality improvement initiatives. Sufficient time should be included in job plans to support these activities and the continuing professional development of those anaesthetists.