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Agreed local guidelines should be available which have been produced by a multidisciplinary team including an anaesthetist, acute pain nurse, pharmacist, physiotherapist, critical care clinicians, surgeons and other relevant specialties.¹⁰ These guidelines should cover at least the following:

• protocol for whom to call for problems with postoperative pain relief
• management of complications including high spinal block, accidental dural puncture...

Agreed local clinical guidelines should be in use which have been produced by an appropriately constituted multiprofessional team, comprising anaesthetists, specialist nurses, surgeons, critical care clinicians, pharmacists, specialty consultants and managers.  These guidelines should cover at least the following:

• assessment and management of pain and itch, including the recording of pain and itch scores^11,58
• sedation for painful...