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Chapter 8: Guidelines for the Provision of Regional Anaesthesia Services 2025

All anaesthetists and the wider theatre team should be aware of the serious complications of regional anaesthesia including wrong sided block and local anaesthetic systemic toxicity. Anaesthetists should help organise and participate in regular multidisciplinary training aimed at reducing risk, recognition and management.

Chapter 15: Guidelines for the Provision of Anaesthesia Services for Vascular Procedures 2022

Some anaesthetists may have responsibility for management of major vascular surgical cases on an occasional or out-of-hours basis. Departments of anaesthesia should ensure that opportunities are made available for these anaesthetists to maintain appropriate skills and knowledge. Notwithstanding this, all anaesthetists must recognise and work within the limits of their professional competence.

Update on implementation of the 2023 EGM resolutions

We would like to update you on the most recent decisions and outputs from our ongoing work to implement the EGM resolutions, following our last update in May 2024 and Council and Board of Trustee meetings in July.

Timeliness in emergency surgery: many perspectives, and many solutions?

Find out more about our two-year national project in collaboration with THIS Institute to improve the time it takes for patients to have emergency bowel surgery.

The Royal College of Anaesthetists has undertaken a two-year national project in collaboration with The Healthcare Improvement Studies (THIS) Institute to use new approaches to improve the time it takes for patients to have emergency bowel surgery.

The time taken for patients to get to the emergency operating theatre remains a stubborn problem, despite many years of research and national guidance emphasising the importance of prompt surgery to reduce morbidity and mortality.

The diagnostic and treatment pathways are complex – involving clinicians from emergency medicine, anaesthesia, surgery, critical care, radiology, and often other specialties. Patients also require resources like CT scanners and operating theatres that are often in short supply. Thinking about the multiple steps each patient must traverse, it is no surprise that they often don’t get speedy access to the operating theatre.

All patients undergoing anaesthesia should be under the care of a consultant anaesthetist whose name is recorded as part of the anaesthetic record.2,3,4 A staff grade, associate specialist and specialty (SAS) grade anaesthetist could be the named ...

All patients undergoing anaesthesia should be under the care of a consultant anaesthetist whose name is recorded as part of the anaesthetic record.2,3,4 A staff grade, associate specialist and specialty (SAS) grade anaesthetist could be the named anaesthetist on the anaesthetic record if local governance arrangements have agreed in advance that, based on the training...