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AAGBI guidelines

Alex Wickham, David Highton, Daniel Martin
BACKGROUND: Anaesthesia is frequently complicated by intraoperative hypotension (IOH) in the elderly, and this is associated with adverse outcome. The definition of IOH is controversial, and although management guidelines for IOH in the elderly exist, the frequency of IOH and typical clinically applied treatment thresholds are largely unknown in the UK. METHODS: We audited frequency of intraoperative blood pressure against national guidelines in elderly patients undergoing surgery...
2016: Perioperative Medicine
A A Klein, P Arnold, R M Bingham, K Brohi, R Clark, R Collis, R Gill, W McSporran, P Moor, R Rao Baikady, T Richards, S Shinde, S Stanworth, T S Walsh
Blood transfusion can be life-saving. Anaesthetists regularly request and administer blood components to their patients. All anaesthetists must be familiar with indications and appropriate use of blood and blood components and their alternatives, but close liaison with haematology specialists and their local blood sciences laboratory is encouraged. Considerable changes in approaches to optimal use of blood components, together with the use of alternative products, have become apparent over the past decade, leading to a need to update previous guidelines and adapt them for the use of anaesthetists working throughout the hospital system...
July 2016: Anaesthesia
R Griffiths, S Shinde, P Clyburn
No abstract text is available yet for this article.
March 2016: Anaesthesia
S R Dawson, M E McBrien
It is increasingly common for patients to be scheduled for anaesthesia and surgery with a 'Do Not Attempt Cardiopulmonary Resuscitation' (DNACPR) decision in place. Updated guidelines for the implementation and management of DNACPR decisions were published jointly by the British Medical Association (BMA), the Resuscitation Council (UK) and the Royal College of Nursing (RCN) in 2014 (BMA, RC(UK), RCN 2014). The Association of Anaesthetists of Great Britain and Ireland (AAGBI) published specific guidelines in 2009 to guide the perioperative management of such patients (AAGBI 2009)...
July 2015: Journal of Perioperative Practice
O Salar, J Holley, B Baker, B J Ollivere, C G Moran
BACKGROUND: Coagulation screening continues as a standard of care in many hip fracture pathways despite the 2011 guidelines from the Association of Anaesthetists of Great Britain and Ireland (AAGBI) which recommend that such screening be performed only if clinically indicated. This study aims to evaluate the use of pre-operative coagulation screening and explore its financial impact. METHODS: Prospective data was collected in accordance with the "Standardised Audit of Hip Fractures in Europe" (SAHFE) protocol...
December 2014: Injury
Endale Gebreegziabher Gebremedhn, Vidhya Bates Nagaratnam
BACKGROUND: Preoperative fasting is a requisite before anesthesia. The main reason for preoperative fasting is to reduce gastric volume and acidity and thus decrease the risk of pulmonary aspiration. However, preoperative fasting is usually prolonged beyond the recommended time for various reasons. Despite the many adverse effects of prolonged fasting, patients sometimes fasted for a prolonged time when surgery was delayed for different reasons at the University of Gondar Hospital. The aim of this study was to assess the duration of preoperative fasting for elective surgery...
September 2014: World Journal of Surgery
Mark C Bellamy, Michael P Margarson
BACKGROUND: As a result of the increasing prevalence of obesity in the UK, anesthetists are increasingly encountering overweight and obese patients in routine practice. There is currently a paucity of evidence to guide best clinical practice for anesthetists managing overweight and obese patients. The current guidelines from the Association of Anaesthetists of Great Britain and Ireland (AAGBI), entitled Peri-Operative Management of the Morbidly Obese Patient, give an excellent overview of organizational issues, but leave much clinical detail to the discretion of the individual clinician...
2013: Perioperative Medicine
Dina Pefanis, Caroline Janes, Raju Ahluwalia
No abstract text is available yet for this article.
2011: International Journal of Surgery
S G Freeman, N J Love, S A Misbah, R C Pollard
AIMS: Anaphylaxis during anaesthesia is a rare and potentially fatal event. Adequate reporting and investigation of anaphylaxis associated with anaesthesia results in improved patient safety and outcomes. Guidelines from the Association of Anaesthetists of Great Britain and Ireland (AAGBI) designed to improve this process were first issued in 1990 and updated in 1995, 2003 and 2008. In a setting where no formal guideline was previously in place, we compared the reporting and investigation of anaphylaxis in a large hospital before and after the introduction of the 2008 guideline...
November 2013: Acta Anaesthesiologica Scandinavica
Michael E McBrien, Alison Kavanagh, Gary Heyburn, James R M Elliott
BACKGROUND: increased provision of orthogeriatric expertise for patients with femoral fractures has led to implementation of 'Do Not Attempt Resuscitation' (DNAR) decisions prior to anaesthesia and surgery for fixation of their fractures. Review and modification of the DNAR decision by the medical team is necessary before surgery and is recommended by guidelines from the Association of Anaesthetists of Great Britain and Ireland (AAGBI) and the General Medical Council. METHODS: over a 17-month period, DNAR decisions were already present or were implemented for the first time in 22 patients prior to scheduled surgical fixation of their femoral fractures...
March 2013: Age and Ageing
P Magee
No abstract text is available yet for this article.
June 2012: Anaesthesia
Philip Hamann, Paul I Dargan, Nisha Parbat, Hanna Ovaska, David M Wood
There is increasing evidence for the use of Intralipid in the management of acute local anaesthetic toxicity. This is supported by the recent Association of Anaesthetists of Great Britain and Ireland (AAGBI) guidelines for the management of local anaesthetic toxicity. Acute hospitals in England and Wales were surveyed to determine the proportion that currently stocked Intralipid, the locations of stocks within the hospital, guidelines related to its use and previous use in the last 12 months. The majority of hospitals surveyed stocked Intralipid in multiple locations, although not in all areas using high volumes of local anaesthetics...
August 2010: Emergency Medicine Journal: EMJ
S Catling
In the UK, maternal mortality due to haemorrhage appears to be rising, with obstetric haemorrhage accounting for 3-4% of the red cells transfused. Allogeneic blood transfusion carries risks such as administration errors, transmitted infections and immunological reactions. The supply of blood is decreasing, partly due to the exclusion of donors who have themselves received a blood transfusion since 1980, in order to stop transmission of variant-Creutzfeldt-Jakob disease. The cost of blood is significantly increasing, partly because it is now leucocyte-depleted to minimize viral transmission...
July 2007: International Journal of Obstetric Anesthesia
Brian Smith, Dawn Hardy
According to the Association of Anaesthetists of Great Britain and Ireland (AAGBI 2002) the increasing complexity of surgical procedures has increased the need for improved monitoring of the postoperative patient. 'Recovery' of a patient has moved from a brief period of observation towards one of assessment and evaluation during the immediate postoperative phase. The purpose of this article is to explore current practice with a focus on the application and importance of discharge criteria. Critical analysis will highlight the responsibilities and accountability of the recovery practitioner (a registered nurse (RN) or operating department practitioner (ODP)) when discharging the patient...
March 2007: Journal of Perioperative Practice
Rachel Seed, Charlotte Boardman, Mark Davies
INTRODUCTION: The Association of Anaesthetists of Great Britain and Ireland (AAGBI) guidelines Recommendations for standards of monitoring during anaesthesia and recovery state that cardiovascular monitoring for induction of general anaesthesia should include pulse oximetry and non-invasive blood pressure measurement, but recognise that young patients may not co-operate sufficiently to allow this. The aim of this study was to look at levels of compliance possible for pulse oximetry and non-invasive blood pressure measurement, in a population known to be unco-operative with therapeutic interventions...
March 2006: Annals of the Royal College of Surgeons of England
Stephen J Price, Nigel Suttner, A Robert Aspoas
High-quality resuscitation and care during transfer of head-injured patients is essential to prevent secondary brain injury. We have prospectively assessed the standard of resuscitation in 50 consecutive head-injured patients transferred to our unit, and compared our findings with previous studies performed before the advanced trauma life support course (ATLS) had become widespread and national guidelines on the transfer of head injuries had been produced by the Association of Anaesthetists of Great Britain and Ireland (AAGBI)...
November 2003: Injury
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