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      • National Emergency Laparotomy Audit (NELA)
      • eFONAr: Emergency Front of Neck Airway Registry
      • Perioperative Quality Improvement Programme (PQIP)
      • Sprint National Anaesthesia Projects (SNAPs)
      • Children's Acute Surgical Abdomen Programme (CASAP)
      • Timeliness to Emergency Laparotomy
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      • Flash card team training
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      • Unrecognised oesophageal intubation
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      • Working in Low and Middle Income Countries
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End of life care

Additional Intensive Care

No smoke without fire: managing perioperative tobacco dependence

Dr Moore argues helping patients stop smoking is very much the business of anaesthetists as well as government and public-health initiatives.

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.

Flashcard simulation helps tackle unrecognised oesophageal intubation

Dr Tom Burr, ST4 Anaesthetist and Dr Marie Nixon, Clinical Quality Advisor, Consultant Anaesthetist tell us how flashcard simulation helps tackle unrecognised oesophageal intubation.

Responses to your Let's Talk questions

In recent weeks we have listened carefully to views expressed by members about anaesthesia associates – including feedback on our position statement, our response to the NHS Long Term Workforce Plan, and discussion at our Let’s Talk event in June.

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...

External resources

Listing summary
Information which has not been produced or written by the College, but which may be helpful.

Your airway and breathing during anaesthesia

Listing summary
This leaflet explains why and how the anaesthetist manages your airway and breathing during anaesthesia.

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.

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