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Care pathways and the involvement of healthcare of the elderly support teams are strongly recommended. Care of older people in hospital should be delivered by staff with the correct set of skills to meet their needs.  For some, this will include r...

Care pathways and the involvement of healthcare of the elderly support teams are strongly recommended. Care of older people in hospital should be delivered by staff with the correct set of skills to meet their needs. For some, this will include review by a Healthcare of the Elderly (HCE) consultant and nutritional assessment. Provision for HCE involvement in the care...

There should be planning at local and regional level for the increase in resources that will be required for increasing numbers of elderly surgical patients.7 ...

There should be planning at local and regional level for the increase in resources that will be required for increasing numbers of elderly surgical patients.⁷

Children undergoing surgery should be grouped into paediatric lists, or together at the start of mixed lists.22 ...

Children undergoing surgery should be grouped into paediatric lists, or together at the start of mixed lists.²²

An operating table, hoists, beds, positioning aids and transfer equipment appropriate for the care of bariatric patients should be available and staff should be trained in its use.48,85,127 ...

An operating table, hoists, beds, positioning aids and transfer equipment appropriate for the care of bariatric patients should be available and staff should be trained in its use.⁴⁸^,⁸⁵^,¹²⁷

Specialist positioning equipment for the induction of anaesthesia and intubation in the morbidly obese patient should be available.85,127 ...

Specialist positioning equipment for the induction of anaesthesia and intubation in the morbidly obese patient should be available.⁸⁵^,¹²⁷

Bariatric patients requiring emergency surgery should have experienced surgeons and anaesthetists available (typically, but not exclusively, at a consultant level), in order to minimise operative time.85,127 ...

Bariatric patients requiring emergency surgery should have experienced surgeons and anaesthetists available (typically, but not exclusively, at a consultant level), in order to minimise operative time.⁸⁵^,¹²⁷

Bariatric patients should be considered for level 2 or 3 critical care postoperatively.85,127 ...

Bariatric patients should be considered for level 2 or 3 critical care postoperatively.⁸⁵^,¹²⁷

There is evidence that introduction of evidence based care bundles for the management of emergency laparotomies can improve outcomes.28 Hospitals should have care bundles for the anaesthetic management of common and high risk surgical emergency patient...

There is evidence that introduction of evidence based care bundles for the management of emergency laparotomies can improve outcomes.²⁸ Hospitals should have care bundles for the anaesthetic management of common and high risk surgical emergency patients.¹

Complications have been shown to have a major impact on both short term and long term outcome, and so hospitals should have clinical and managerial strategies to reduce these to a minimum.4,15,113 ...

Complications have been shown to have a major impact on both short term and long term outcome, and so hospitals should have clinical and managerial strategies to reduce these to a minimum.⁴^,¹⁵^,¹¹³

To facilitate optimal care of high risk patients, systems should be in place to ensure:1,3,33 timely surgical review (typically at a consultant level), and access to diagnostic imaging and urgent reporting documented evaluation of mortality and...

To facilitate optimal care of high risk patients, systems should be in place to ensure:¹^,³^,³³

timely surgical review (typically at a consultant level), and access to diagnostic imaging and urgent reporting
documented evaluation of mortality and relevant morbidity risk prior to surgery^131,132
communication of risk to the multidisciplinary clinical team, to...

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