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ACCT)care group is committed to the development of all staff members. Consequently, a process is utilised to ensure that staff are awarded study leave in a fair and equitable manner. This Standard operating procedure (SOP) describes the processes and principles to be followed by line managers when considering requests for study leave from their team members.

Actions to be taken following an anaphylactic reaction under anaesthetic, letters to patient/GP.

Summary of the use of neuraxial/epidural blockade for the treatment of post-operative pain and the requirements to deliver this service safely in the ward setting.Keywords: Epidural, Local anaesthesia, Opiate, Prescribing.

Anaesthesia for Patients with Fractured Neck of Femur.Keywords:Anaesthesia - Hip fracture - Neck of femurNOF - #NOF - Spinal.NOF #NOF

Guideline to ensure safety and avoidance of inadvertent foreign body aspiration during airway intervention, intubation and ventilation. Includes guidance on airway equipment preparation and safety checks, and advice regarding other equipment used in these areas.

This document outlines the potential and actual use of Local Anaesthetic with in RCHT and the precautions and care required.Keywords: Elastomeric device, nerve catheter, nerve block, local anaesthesia.

Day case surgery pathway and transfer from remote sites.Keywords: Day case, day case surgery, nurse-led discharge, transfer to RCH site, discharge criteria

This guideline aims to help the clinician to document accurate preoperative dental assessments, obtain appropriate consent, minimise the risk of dental injury and manage it correctly, should it occur.Keywords:Airway, intubation, extubation, dental, dental damaged, avulsed tooth, damaged tooth.

Standard Operation Procedure for Enhanced Perioperative Care Unit Standard Operating Protocol (EPOC) patients.Keywords: High-risk, elective, enhanced.

A guideline for the enhanced recovery programme for total hip replacement including pain management, analgesia and VTE.Keywords: Total hip replacement, THR, hip surgery.

Fasting guidance for adults undergoing anaesthesia or intravenous sedation.

Fasting for Children (0-15yrs) who require General Anaesthesia, Regional Anaesthesia or Deep Intravenous Sedation.Keywords: Fasting, starvation, anaesthesia, surgery, paediatrics, children, sip til send, aspiration, breast milk, milk, solids, food.

Standard Operating Procedure for the use of the Hemochron ACT monitor during vascular surgery.

Standard Operating Procedure for Insertion of Arterial Lines in Adult patients by Anaesthetic Practitioners.Keywords: Arterial line/ Anaesthetic / Anaesthetic Practitioner.

This guidance outlines the actions required during handover of care intra and post operatively between the Anaesthetic team and Recovery or Critical care.Keywords: Intra-Operative, Post-Operative, Handover, Care, Anaesthesia, Recovery.

This policy covers all aspects of Cell Salvage in the Surgical, Midwifery and Obstetrics setting.

A guideline for the provision of safe and efficient analgesia administration in Recovery areas.

To provide safe and efficient administration of intravenous lidocaine to provide analgesia in High Dependency Areas in the perioperative period.

This document is designed to provide a framework for clinicians for the management of patients with ruptured abdominal aortic aneurysm.

Clinical Guideline for the Management of leg weakness with Epidural Analgesia.

The purpose of this document is to provide guidance for management of new onset atrial fibrillation in postoperative period.This guideline is not intended to cover management of atrial fibrillation with fast ventricular rate in patients with established diagnosis of atrial fibrillation.

Practical management of neurological deficit following peripheral / regional nerve block.

Pathway for pre-, peri- and postoperative management of paediatric patients presenting with Obstructive sleep apnoea symptoms requiring surgery.

The purpose of this guideline is to provide anaesthetists with a framework to identify and care for those patients who have complex analgesia requirements peri- operatively.Keywords: Chronic pain, acute pain, opioid abuse, neuropathic pain, Ketamine, epidural, clonidine.

The purpose of this guideline is to provide a framework to guide red cell transfusion.

Guidance designed to empower surgical and anaesthetic colleagues to better care for women who are breastfeeding and ultimately prompt the continued breast feeding relationship.Keywords: Breastfeeding, lactation, drugs, medication, anaesthesia, surgery, peri-operative.

Perioperative guideline for patients with obstructive sleep apnoea.Keywords: OSA, Obstructive sleep apnoea, anaesthesia.

Guideline for use of peripheral noradrenaline for hypotension due to anaesthesia / surgery / shock.Keywords:Noradrenaline, hypotension.

Guidance for the perioperative use of anti- emetic medication.Keywords: Anaesthesia, Surgery, Nausea, Vomiting, Anti-emetics.

Guidelines for pre-operative assessment and preparation for adults requiring regional or general anaesthesia for elective surgery and endoscopic procedures across the trust.

Clinical guideline to aid prescription and administration of pre-operative anxiolytic pre-medication for children and young people at RCHT to ensure those which are significantly anxious have a calm and co-operative induction of anaesthesia.Keywords: Anxiolysis; Anxiety; Sedation; Pre-op; Perioperative; Paediatric; Children; Young People; Anaesthesia; Surgery; RCHT; Pre-med; Ketamine; Midazolam; Clonidine; Dexmedetomidine.

Guideline for the Prevention and Management of Post-Operative Cognitive Dysfunction and Delerium.Keywords:Delirium, Cognitive decline, Post-operative, Recovery.

Guidance for safe removal of supraglottic airway devices in recovery areas.Keywords: Recovery, supraglottic, airway.

Minimal and moderate sedation of paediatric patients and young people by non-anaesthetists

This document is to outline the supervision of Anaesthetists in Training (AiT) and give guidance of how this supervision is transparent during operating lists and recorded in medical notes.Keywords: Supervision, supervisor, Anaesthetist in Training, Cappuccini test.

To provide staff with guidelines for the management of cases involving throat packs.