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Chapter 16: Guidelines for the Provision of Anaesthesia Services for Trauma and Orthopaedic Surgery 2025
Hospitals admitting patients with major trauma should have critical care to both Level 2 and 3 standards on site.39 Portable invasive haemodynamic monitoring should be available to facilitate transfer to and from the critical care areas.
Chapter 13: Guidelines for the Provision of Ophthalmic Anaesthesia Services 2025
Many procedures do not have to be performed out of hours.35Anaesthetists and surgeons together should devise departmental protocols for the handling of patients requiring urgent procedures, to allow prioritisation from both surgical and anaesthetic perspectives.
I am a huge fan of the Beano and sent feedback to the Royal College of Anaesthetists about a special collaborative edition I had read, Dennis has an anaesthetic. My Granny was in hospital at the time, and I was worried about her. She had broken her ankle. I read the Beano comic to help me understand and feel better about her being unwell and having an operation.
Children’s anxiety related to hospital admissions and procedures is a huge problem and affects up to 80% of children. 75% experience anxiety in the anaesthetic room, and 60% develop ‘new’ dysfunctional behaviour in the three weeks after surgery. Sadly, 12% still display this new behaviour one year after surgery. In the US, surveys show that 25% of children are held down for a general anaesthetic.
Dennis has an anaesthetic teaches children about:
- finding out about the operation
- getting ready for the operation
- having the anaesthetic and operation
- waking up and going home.