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Appropriate equipment should be available to minimise heat loss by the patient and to provide active warming.

Patients should be appropriately monitored during their recovery from anaesthesia or sedation.¹⁹

The care of the patient remains the responsibility of the anaesthetist up to discharge for ambulatory procedures or ward transfer for inpatient procedures.

Children should always be managed in accordance with RCoA and Association of Paediatric Anaesthetists of Great Britain and Ireland recommendations.^26,27

Each facility should develop written policies, designating the types of paediatric operative, diagnostic and therapeutic procedures requiring anaesthesia.

The paediatric anaesthetist should consider the patient age, physical capacity, complexity of the procedure and the status of the surgical facility before administering anaesthesia.

The standard of care provided to children during sedation or anaesthesia outside of theatre should be delivered to the same standards of care as applied to procedures performed in theatre.²⁸

Equipment available in remote sites should mirror equipment available in the main paediatric facility.

Guidance for paediatric sedation should be developed for the local context, by a multidisciplinary team.²⁸

Paediatric sedation should be managed in accordance with recognised national guidelines.³⁰