There should be provision for carbohydrate drinks to take preoperatively where appropriate.44 ...
There should be provision for carbohydrate drinks to take preoperatively where appropriate.44
There should be provision for carbohydrate drinks to take preoperatively where appropriate.44
Where children are transferring from paediatric to adult services there should be the opportunity to advise them about possible changes in anaesthesia management. Examples may include the use of sedation for some procedures that previously would have been managed with general anaesthesia, or the use of alternatives to topical anaesthesia.33
Anaesthetists with a substantial commitment to paediatric anaesthesia should have satisfied the higher and advanced level competency based training requirements in paediatric anaesthesia of the RCoA48 or equivalent. It is recognised that anaesthetists involved in highly specialised areas such as paediatric cardiac and neurosurgery will require additional training that is individually tailored to their needs.
All anaesthetists who provide elective or emergency care for infants, children or young adults should have advanced training in life support that covers their expected range of clinical practice and responsibilities.49,50 These competencies should be maintained by annual training that are ideally multidisciplinary and scenario based.51
All anaesthetists must undertake at least level 2 training in safeguarding/child protection,57 and must maintain this level of competence by annual updates of current policy and practice and case discussion.58 Safeguarding resources to support learning can be found on the RCoA website (www.rcoa.ac.uk/safeguardingplus).
At least one consultant in each department should take the lead in safeguarding/child protection 59 and undertake training and maintain core level 3 competencies. The lead anaesthetist for safeguarding/child protection should advise on and co-ordinate training within their department, but will not have responsibility for deciding on management of individual clinical cases.