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Women who refuse transfusion of blood or blood products, whether because of adherence to the Jehovah’s Witness faith or for other reasons, should be identified early in the antenatal period. They should meet with an anaesthetist to discuss their spec...
Women who refuse transfusion of blood or blood products, whether because of adherence to the Jehovah’s Witness faith or for other reasons, should be identified early in the antenatal period. They should meet with an anaesthetist to discuss their specific restrictions, and should receive information about the potential risks associated with their decision.142,143 Their decision should be...
Women with potential capacity to consent issues should be identified early in the antenatal period, and arrangements made to both maximise their competency and to ensure that they are adequately represented and advocated for, in keeping with current le...
Women with potential capacity to consent issues should be identified early in the antenatal period, and arrangements made to both maximise their competency and to ensure that they are adequately represented and advocated for, in keeping with current legislation.144
Anticipated difficulty with anaesthesia should be brought to the attention of the anaesthetist as early as possible before surgery. This includes planned admission to a critical care unit, the need for special skills, such as those of fibre optic intub...
Anticipated difficulty with anaesthesia should be brought to the attention of the anaesthetist as early as possible before surgery. This includes planned admission to a critical care unit, the need for special skills, such as those of fibre optic intubation, obesity, complex pain problems or a known history of anaesthetic complications.
All explanations given to women should be clearly documented in their records. ...
All explanations given to women should be clearly documented in their records.
Wherever children undergo anaesthesia, there should be immediate access to a named consultant paediatrician with acute care responsibilities at all times. This includes a local agreement for those sites without inpatient paediatric beds.15 ...
Wherever children undergo anaesthesia, there should be immediate access to a named consultant paediatrician with acute care responsibilities at all times. This includes a local agreement for those sites without inpatient paediatric beds.15
Equipment should be available and maintained that is appropriate for use in neonates, infants and children of all sizes and ages, including: equipment for airway management and monitoring, including capnography and invasive haemodynamic monitorin...
Equipment should be available and maintained that is appropriate for use in neonates, infants and children of all sizes and ages, including:
- equipment for airway management and monitoring, including capnography and invasive haemodynamic monitoring
- pulse oximetry sensors and blood pressure cuffs
- vascular access equipment, including intraosseous needles
- devices to allow rapid and accurate fluid and drug delivery
- equipment for warming...
Equipment for near patient testing of glucose, haemoglobin, blood gases and electrolytes should be readily available.18 ...
Equipment for near patient testing of glucose, haemoglobin, blood gases and electrolytes should be readily available.18
Intravenous fluid management should conform to NICE guidelines, and appropriate equipment to deliver this safely and accurately should be available.18 ...
Intravenous fluid management should conform to NICE guidelines, and appropriate equipment to deliver this safely and accurately should be available.18