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All areas in which ophthalmic anaesthesia is performed should have a reliable supply of the medicines required to deliver safe anaesthesia and sedation. Storage arrangements should be such that there is prompt access to them if clinically required, maintains integrity of the medicines, and ensures compliance with safe and secure storage of medicines regulations.30In addition, anaesthetists and anaesthetic...
Facilities should be available or transfer arrangements should be in place to allow for the overnight stay of patients who cannot be treated as day cases or who require unanticipated admission.
Optimal patient positioning is critical to the safe conduct of ophthalmic surgery and for patient comfort. Adjustable trolleys/operating tables that permit correct positioning should be available.31
Some patients, for example those with restricted mobility, may require specific equipment such as hoists to position them. Preoperative planning should ensure that such equipment is available and should allow for the extra time and staff needed to position these patients safely.
Children should never be left unattended in the recovery area.28
A designated area for parents/guardians should be located in an area close to theatre, where they can be contacted or wait until they are invited by the clinical staff to the recovery area to be reunited with their child as soon as they are awake.10,13
Departments should consider making comforters and favourite toys available for children upon emergence from anaesthesia, to reduce anxiety.29
Children have an increased incidence of postoperative delirium. Recovery staff should have an increased awareness and there should be local protocols for its management.29
There should be facilities for the storage of patients’ paper notes in a secure environment to enable access to previous anaesthetic records and medical alerts.
Children with learning difficulties should ideally be recovered in an area with lower levels of noise and lighting and a familiar presence, such as their carer.29
