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All obstetric departments should provide and regularly update multidisciplinary guidelines. A comprehensive list of recommended guidelines can be found in the Obstetric Anaesthetists' Association (OAA)/Association of Anaesthetists guidelines for obstet...

All obstetric departments should provide and regularly update multidisciplinary guidelines. A comprehensive list of recommended guidelines can be found in the Obstetric Anaesthetists' Association (OAA)/Association of Anaesthetists guidelines for obstetric anaesthesia services.55

Chapter 8: Guidelines for the Provision of Regional Anaesthesia Services 2024

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 7: Guidelines for the Provision of Anaesthesia Services in the Non-theatre Environment 2025

The anaesthetist should ensure that an adequate supply of oxygen is available before starting any procedure. Many of the sites where anaesthesia is provided outside the main operating theatres do not have piped oxygen; if anaesthesia is provided frequently in such a location, the use of the location should be reviewed, or piped oxygen provided. The organisational culture should enable...

Chapter 17: Guidelines for the Provision of Anaesthesia Services for Burn and Plastics Surgery 2025

A clinical lead for burn and plastic surgery anaesthesia should be appointed in each hospital providing anaesthesia for this specialty. 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 should be able to support quality improvement initiatives. Sufficient time...

Introducing the 2024 cohort study

Dr Chris Carey and Dr Lewis Hendon-John tell us what the College is doing to better understand the factors causing low morale and burnout in anaesthetists.

Training in anaesthesia is one of the cornerstones of the profession. It is often cited as one of the specific attractions of choosing anaesthesia as a career. However, anaesthetists in training are unfortunately not immune from the challenges faced by all resident doctors working within the UK.

In recent years, there have been growing concerns about low morale and burnout. Anaesthetists in training provide a pivotal role in the provision of services in many areas of secondary care. Furthermore, there is a well recognised shortage of consultant anaesthetists in the UK. It’s essential that the NHS is able to train and retain this uniquely skilled workforce to provide care for patients both now and in the future.

It’s apparent from both the College’s own work, such as the 2017 survey on morale and welfare in anaesthetists in training (‘A need to listen’) and also evidence from the GMC’s National Trainee Survey (NTS), that there is a high proportion of anaesthetists in training at risk of burnout. There have also been significant external factors impacting on the training programme, such as the transition to the 2021 curriculum and the COVID-19 pandemic. Competition ratios to enter anaesthetic training are at record levels, and concerns remain about training-post numbers and progression between Core and Higher training programmes.

Obstetric anaesthesia and current challenges

Listing summary
Obstetric podcast

Chapter 6: Guidelines for the Provision of Anaesthesia Services for Day Surgery 2025

The recommended Association of Anaesthetist standards of anaesthetic monitoring should be met for every patient.39

Chapter 17: Guidelines for the Provision of Anaesthesia Services for Burn and Plastics Surgery 2025

Equipment to comply with the Association of Anaesthetists standards for anaesthetic monitoring should be available.11

Chapter 14: Guidelines for the Provision of Neuroanaesthetic Services 2025

Equipment that complies with Association of Anaesthetists standards for anaesthetic monitoring should be available.13

Chapter 18: Guidelines on the Provision of Anaesthesia Services for Cardiac Procedures 2025

All anaesthetists in training should be appropriately clinically supervised at all times.52

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