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Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2025
Parents and children should be appropriately educated and equipped with information to address common issues they may face postoperatively, in recovery and on discharge. This information should include leaflets for common procedures highlighting risks and these should be developed locally with support from area networks.221
They're the fresh faces of anaesthesia and the future of our specialty.
We introduce you to some of our newest anaesthetists in training. We hope all of them and the rest of our trainees have very long, rewarding, and fulfilling careers as anaesthetists.
An increasing number of residents are having children during training. While some of you might balk at the idea of combining nappies and sleepless nights with stages 1, 2 and 3 of training, others are very happy to go on this journey of paternal and professional bliss.
Many of us know that although parenting and training in anaesthesia are compatible, there are many challenges. Some of these could be addressed to the benefit of anaesthetists, anaesthetic departments and providers alike.
This galvanised us to run a national survey, looking at the impact of parenting on training in anaesthesia from both the parent and non-parent perspectives. 411 residents responded to the survey, with a higher proportion of respondents being white and heterosexual, and training less than full time. A similar proportion of men and women responded, highlighting how these issues affect everyone. We recognise that this is the opinion of one group, albeit a key stakeholder, in a complex situation.
This article highlights a few of the key findings.
Twenty five per cent of trauma deaths are directly caused by injury to the thorax and, while a minority will require emergency surgery, up to eighty five per cent of chest injuries can be managed without the need for formal surgical intervention.1 In these cases, rapid recognition and management of life-threatening conditions are key to successful resuscitation.
Thoracostomy (the creation of an artificial opening in the chest wall) is a procedure performed for decompression of the chest, usually by our pre-hospital, surgical or emergency medicine colleagues. It is also the first stage to placing a tube thoracostomy or ‘open’ chest drain. In the context of trauma, emergency lateral thoracostomy is indicated in the following circumstances:
- traumatic tension pneumothorax
- massive haemothorax
- traumatic cardiac arrest.
An anaesthetist should have overall responsibility for the transport of patients from theatre to the PACU.6 ...
An anaesthetist should have overall responsibility for the transport of patients from theatre to the PACU.6
It should also be possible to arrange transfer of a patient from the procedure room to other areas within the institution if necessary. ...
It should also be possible to arrange transfer of a patient from the procedure room to other areas within the institution if necessary.
Chapter 16: Guidelines for the Provision of Anaesthesia Services for Trauma and Orthopaedic Surgery 2025
Governance meetings should take place across the entire trauma network at defined intervals. Besides individual case discussion, feedback information from the Trauma Audit and Research Network (TARN) should be disseminated, and mechanisms set in place to correct any problems identified.1