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A difficult intubation trolley with a variety of laryngoscopes including video laryngoscopes, tracheal tubes (size 7 and smaller), second-generation supraglottic airway devices, equipment for emergency front of neck and other aids for difficult airway management should be available in theatre. Videolaryngoscope should always be available. The difficult intubation trolley should have a standard layout that is identical to trolleys in other parts of...
Patient controlled analgesia equipment should be available for postoperative pain relief, and staff should be trained in its use and how to look after women using the equipment.53
Ultrasound imaging equipment should be available to anaesthetists trained in its use for central vascular access and transversus abdominis plane blocks. Where staff have the relevant competencies, ultrasound may also be useful for other tasks.54,55,56,57
An intraosseous access insertion device should be immediately available.
Synchronised clocks should be present in all delivery rooms and theatres to facilitate the accurate recording of events and to comply with medicolegal requirements.58
Resuscitation equipment as described by the Resuscitation Council UK should be available on the delivery suite and should be checked regularly.59 A resuscitative hysterotomy pack containing a scalpel, surgical gloves and cord clamp should be available on all resuscitation trolleys in the Maternity Unit and areas admitting pregnant women e.g. emergency departments.60 A range of sizes of...
There should be arrangements or standing orders in place for agreed preoperative laboratory investigations.62
There should be a standard prescription or a local patient group directive for preoperative antacid prophylaxis.63,64
Haematology and biochemistry services to provide analysis of blood and other body fluids should be available 24/7. Anaesthetists should be represented on blood user groups.
A local policy should be established with the transfusion services to ensure that blood products, once available, are transferred to the delivery suite rapidly for the management of major haemorrhage.44
