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There should be ready access to evidence based guidelines that are appropriate for children on the following topics:

management of pain, nausea and vomiting

• fluid fasting⁶⁷
• intravenous fluid management¹⁸
• prevention of perioperative venous thromboembolism⁶⁸
• death of the child in theatre
• protocols for anaesthetic emergencies, including:
  • anaphylaxis⁶⁹
  • malignant hyperthermia
  • difficult airway management
  • airway obstruction...

There should be ready access to evidence-based guidelines that are appropriate for children on the following topics:

• management of pain, nausea and vomiting
• fluid fasting⁷²
• intravenous fluid management²⁰
• prevention of perioperative venous thromboembolism⁷³
• death of the child in theatre
• protocols for anaesthetic emergencies, including:
  • anaphylaxis⁷⁴
  • malignant hyperthermia
  • difficult airway management
  • airway obstruction
  • resuscitation
  • local anaesthetic toxicity...

The safe management of unstable patients depends on close liaison between emergency physicians, anaesthetists and intensivists.^50,51 Local collaboration and leadership through committee structure or working groups should ensure the following:

• clear guidelines are easily accessible to all staff regarding fixed contact points for anaesthetic support, channels of escalation, equipment availability, medication use and periprocedural care.⁵² Major...

Guidelines containing standards about the following subjects should be held and easily accessible²⁵:

• provision of information to patients
• care of the obstetric patient with an elevated BMI
• resuscitation of the pregnant patient
• management of epidural haematoma
• management of severe local anaesthetic toxicity⁸²
• management of high regional block
• higher levels of care for the critically ill obstetric patient...

The following guidelines should be held and should be easily accessible for labour analgesia25:

• antacid prophylaxis for labour and delivery and oral intake in labour
• regional analgesia for labour
• management of the complications of labour analgesia, including:
  •  accidental dural puncture
  • post-dural puncture headache⁸⁶
  • epidural haematoma
  • severe local anaesthetic toxicity⁸²
  • high regional block
  • prolonged neuroaxial block^87...

The following guidelines should be held and should easily accessible for caesarean section anaesthesia²⁵:

• fasting and antacid prophylaxis before elective and emergency obstetric procedures
• regional anaesthesia for caesarean section (emergency and elective)
• general anaesthesia for caesarean section (including avoiding awareness under general anaesthesia)⁸⁹
• management of difficult or failed intubation in obstetrics⁵²
• management of failed regional anaesthesia...