Anaesthesia and Critical Care – Staff Page

Policies for Anaesthetics and Theatres

• Anaesthetics

  • Awake Fibreoptic Intubation Guidelines
  • C-Mac D blade tips
  • Difficult Airway Trolleys (DATs)
  • Hip Fracture + Anticoagulation
  • Spinal Pathway (Appendix 2 of Perioperative Complications of Neuraxial Blockade)
  • Codeine Guidance – for the administration of codeine and alternative opioid analgesics in children – RCoA
  • Daycase Tonsillectomy + OSA Criteria
  • Management of children and young people with diabetes during surgery
  • Handbook of Peri-operative Medicines
  • Perioperative care of the elderly and assessment of frailty
  • Preoperative Guideline

• Quick Reference Handbook - Association of Anaesthetists

  Quick Reference Handbook - Association of Anaesthetists

  • 1-1 Key Basic Plan
  • 2-1 Cardiac arrest 
  • 2-2 Hypoxia desaturation cyanosis
  • 2-3 Increased airway pressure 
  • 2-4 Hypotension
  • 2-5 Hypertension 
  • 2-6 Bradycardia 
  • 2-7 Tachycardia 
  • 2-8 Peri-operative hyperthermia
  • 3-1 Anaphylaxis 
  • 3-2 Massive blood loss 
  • 3-3 Can’t intubate, can’t oxygenate (CICO) 
  • 3-4 Bronchospasm 
  • 3-5 Circulatory embolus 
  • 3-6 Laryngospasm and stridor 
  • 3-7 Patient fire 
  • 3-8 Malignant hyperthermia crisis 
  • 3-9 Cardiac tamponade 
  • 3-10 Local anaesthetic toxicity 
  • 3-11 High central neuraxial block 
  • 3-12 Cardiac ischaemia 
  • 3-13 Neuroprotection following cardiac arrest
  • 3-14 Sepsis 
  • 4-1 Mains oxygen failure 
  • 4-2 Mains electricity failure 
  • 4-3 Emergency evacuation 

• Obstetrics

  • Care and Planning of Maternal Patients with Cardiac Disease
  • Caesarean Associated Recovery Enhancement (CARE)
  • Drill for High Regional Block in Obstetrics
  • Epidural top-up for CS
  • Epidurals in Obstetric Patients
  • Failed intubation Flowchart
  • Handover of Care – Medical Staff on labour ward
  • Handover of Care – Obs, including transfers
  • Inadvertent dural puncture in Obstetric patients
  • Massive Obstetric Haemorrhage Guide
  • Obstetric Anaesthetic Referral Form
  • Obstetric General Anaesthesia
  • Obstetric Handbook 2021
  • Obstetric Haemorrhage Guide
  • Obstetric High Dependency Care (CNST)
  • Post Anaesthetic Recovery (CNST)
  • Post Operative Analgesia in Maternity Unit
  • Pudendal Nerve Block
  • Referral to the High Risk Obstetric Anaesthesia Clinic
  • Remifentanil PCAS for Analgesia in Labour
  • Spinal Anaesthesia
  • TEG6s Guide for Clotting Product Use on Labour ward

• Acute Pain

  • Contacting the inpatient pain service
  • Acute pain management guidelines
  • Acute pain guidelines for analgesic adjuncts
  • Epidural analgesia
  • Intrathecal opiates
  • Ketamine in acute pain management
  • Local anaesthetic infusions via elastomeric pumps
  • Long term opioid guidance
  • Paravertebral infusion
  • PCAS – The use of PCAS for the delivery of intravenous opioid analgesia
  • Prescribe and administer a PCA loading dose or bolus on EPR
  • Prescribe and administer an intrathecal opiate on EPR
  • Prescribing Epidural Infusions on EPR
  • Prescribing Pain Busters on EPR
  • Prescribing Patient Controlled Analgesia on EPR
  • Referral to acute pain team