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Wherever sedation services for paediatric burn management exist, anaesthetists should be involved with setting up, monitoring and auditing the service.

Anaesthetists who prescribe sedation for paediatric burn patients should have received appropriate training.⁴¹

Anaesthetists who prescribe oral sedation for paediatric burn patients do not need to be physically present for the procedure for which sedation is being prescribed, but they, or other suitably trained and experienced staff, need to be available to return immediately if the need arises.⁴²

A fluid warmer, allowing the warmed transfusion of blood products and intravenous fluids, should be available.³¹

General anaesthesia may be more appropriate than sedation for an individual. If general anaesthesia is performed in non-theatre environments, the recommendations in chapter 7 should be followed.⁵

A hospital education and play service should be available for children.¹¹

Staffing models should promote shared care between burn and critical care teams as this may improve safety.⁴⁵

Any sedation service should be age appropriate, with general anaesthesia an option available for some cases.^22,41,46,47

Patients requiring burn or plastic surgery procedures should be managed by anaesthetists who have an appropriate level of training in this field, have regular commitment to the burn and plastic surgery specialty, and have acquired the relevant knowledge and skills needed to care for these patients.

In order to maintain the necessary repertoire of skills, anaesthetists providing a burn and plastic surgery anaesthetic service should have a regular commitment to the specialty, and adequate time must be made for them to participate in a range of relevant continuing medical education (CPD) activities.