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At all times, at least one advanced life support provider or an anaesthetist should be immediately available.  

For children, a staff member with an advanced paediatric life support qualification or an anaesthetist with paediatric competencies should be immediately available.⁴

Core competencies should be updated according to local and national guidelines.

Wherever possible, training should be multidisciplinary.¹⁶

There is a high prevalence of recognised and unrecognised cognitive impairment amongst older surgical patients. This has implications for shared decision-making, the consent process and perioperative management. Older patients should have preoperative cognitive assessment using established screening or diagnostic tools.

All institutions should have protocols and the necessary facilities for managing postoperative care and should review and update these regularly.¹⁶

Immediate postoperative management involves multidisciplinary care but overall responsibility is the named consultant anaesthetists.

There should be a named anaesthetist clinical lead (see glossary) for recovery.¹⁰

Where ophthalmic surgery is performed as a daycase procedure, the facilities should conform to best practice guidance. Day surgery operating theatres should meet the same standards as inpatient operating theatres.^23,24,25Room should be available for patients to be seen in private by the anaesthetist and surgeon on the day of surgery.² There...

In units where ophthalmic surgery is performed, including locations that may be isolated from main theatre services, facilities provided should allow for the safe conduct of anaesthesia and sedation. This would include monitoring equipment, oxygen, availability of opioid and benzodiazepine antagonist drugs, a recovery area, and drugs and equipment to deal with emergencies such as cardiac arrest, anaphylaxis and local...