Chapter 15: Guidelines for the Provision of Anaesthesia Services for Vascular Procedures 2022
Departments should facilitate the collection of data required for anaesthetists undertaking major vascular cases to keep a personal logbook.
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Chapter 15: Guidelines for the Provision of Anaesthesia Services for Vascular Procedures 2022
Options for anaesthesia and all aspects of perioperative care, including risks and benefits, should be discussed with the patient by the responsible anaesthetist.
Chapter 17: Guidelines for the Provision of Anaesthesia Services for Burn and Plastics Surgery 2025
There is a high incidence of ‘awareness’ under sedation and subsequent post-traumatic stress. The anaesthetist should obtain informed consent from the patent before any sedation is administered. This includes using descriptions of levels of sedation from the patient’s perspective.88
Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2025
AAs should always work within an anaesthesia team led by a consultant or other autonomously practising anaesthetist who has overall responsibility for the anaesthesia care provided for the patient and whose name should be recorded in the individual patient’s medical notes.119
Chapter 12: Guidelines for the Provision of Anaesthesia Services for ENT, Oral Maxillofacial and Dental surgery 2025
Guidelines (e.g. those published by the Association of Paediatric Anaesthetists of Great Britain and Ireland) should be followed for the management of children referred for dental extractions under general anaesthesia.35 Further information on anaesthesia for community dentistry is available in chapter 7.
Dr Cathryn Malins and Dr Madeleine Storey explain why formalising training time in regional anaesthesia will facilitate the learning of trainees at all stages.
Over the last five years, regional anaesthesia in clinical practice has been on a trajectory – growing in importance and prominence in the anaesthesia community. Efforts by the 8th National Audit Project and the BJA have helped further increase the publicity of regional anaesthesia. While we can all see the merit in this growth, is this the time for a more formalised place in the training programme for regional anaesthesia?
As with any practical procedure, there are many ways to learn, but it is practically impossible to become competent or excellent at regional anaesthesia without regular hands-on patient experience. Recent UK-wide surveys revealed a large proportion of Stage 3 trainees unable to perform all Plan A blocks independently, and found that only a small proportion of consultants and specialists felt confident teaching all these blocks to trainees. It has also been seen that the higher the number of blocks trainees perform, the more confident they feel. Currently, ‘getting numbers’ and achieving the required competence, feels challenging.
We acknowledge that there is an inevitable period of adjustment following curriculum transition, but many of our trainee colleagues still feel their current skills in this area are inadequate for their level of training. To prevent this becoming a perpetual challenge this issue must be proactively addressed across all stages of training.