Recommendations for standards of monitoring during anaesthesia and recovery 2021: Guideline from the Association of Anaesthetists

doi:10.1111/anae.15501

Practice Guideline

. 2021 Sep;76(9):1212-1223.

doi: 10.1111/anae.15501. Epub 2021 May 20.

Recommendations for standards of monitoring during anaesthesia and recovery 2021: Guideline from the Association of Anaesthetists

A A Klein¹, T Meek², E Allcock³, T M Cook⁴, N Mincher⁵, C Morris⁶, A F Nimmo⁷, J J Pandit⁸, A Pawa⁹, G Rodney¹⁰, T Sheraton⁵, P Young¹¹

Affiliations

¹ Department of Anaesthesia and Intensive Care, Royal Papworth Hospital, Co-Chair, Association of Anaesthetists Working Party, Cambridge, UK.
² Department of Anaesthesia, James Cook University Hospital, Co-Chair, Association of Anaesthetists Working Party, Middlesbrough, UK.
³ Department of Anaesthesia, James Cook University Hospital, Middlesbrough, UK.
⁴ Royal United Hospital NHS Trust, Bath, UK.
⁵ Department of Anaesthesia, Royal Gwent Hospital, Newport, UK.
⁶ Royal Derby Hospital, Derby, UK.
⁷ Department of Anaesthesia, Royal Infirmary of Edinburgh, Edinburgh, UK.
⁸ University of Oxford, Royal College of Anaesthetists, Oxford, UK.
⁹ Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, President, Regional Anaesthesia UK (RA-UK), London, UK.
¹⁰ Department of Anaesthesia, Ninewells Hospital, Dundee, UK.
¹¹ Department of Anaesthesia and Critical Care, Queen Elizabeth Hospital, Kings Lynn, UK.

PMID: 34013531
DOI: 10.1111/anae.15501

Free article

Practice Guideline

Recommendations for standards of monitoring during anaesthesia and recovery 2021: Guideline from the Association of Anaesthetists

A A Klein et al. Anaesthesia. 2021 Sep.

Free article

. 2021 Sep;76(9):1212-1223.

doi: 10.1111/anae.15501. Epub 2021 May 20.

Authors

A A Klein¹, T Meek², E Allcock³, T M Cook⁴, N Mincher⁵, C Morris⁶, A F Nimmo⁷, J J Pandit⁸, A Pawa⁹, G Rodney¹⁰, T Sheraton⁵, P Young¹¹

Affiliations

¹ Department of Anaesthesia and Intensive Care, Royal Papworth Hospital, Co-Chair, Association of Anaesthetists Working Party, Cambridge, UK.
² Department of Anaesthesia, James Cook University Hospital, Co-Chair, Association of Anaesthetists Working Party, Middlesbrough, UK.
³ Department of Anaesthesia, James Cook University Hospital, Middlesbrough, UK.
⁴ Royal United Hospital NHS Trust, Bath, UK.
⁵ Department of Anaesthesia, Royal Gwent Hospital, Newport, UK.
⁶ Royal Derby Hospital, Derby, UK.
⁷ Department of Anaesthesia, Royal Infirmary of Edinburgh, Edinburgh, UK.
⁸ University of Oxford, Royal College of Anaesthetists, Oxford, UK.
⁹ Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, President, Regional Anaesthesia UK (RA-UK), London, UK.
¹⁰ Department of Anaesthesia, Ninewells Hospital, Dundee, UK.
¹¹ Department of Anaesthesia and Critical Care, Queen Elizabeth Hospital, Kings Lynn, UK.

PMID: 34013531
DOI: 10.1111/anae.15501

Abstract

This guideline updates and replaces the 5th edition of the Standards of Monitoring published in 2015. The aim of this document is to provide guidance on the minimum standards for monitoring of any patient undergoing anaesthesia or sedation under the care of an anaesthetist. The recommendations are primarily aimed at anaesthetists practising in the UK and Ireland, but it is recognised that these guidelines may also be of use in other areas of the world. Minimum standards for monitoring patients during anaesthesia and in the recovery phase are included. There is also guidance on monitoring patients undergoing sedation and during transfer. There are new sections specifically discussing capnography, sedation and regional anaesthesia. In addition, the indications for processed electroencephalogram and neuromuscular monitoring have been updated.

Keywords: depth of anaesthesia; monitoring - intra-operative; neuromuscular blockade.

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Comment in

Recommendations for standards of monitoring during anaesthesia and recovery 2021.
Lucas DN, Russell R, Bamber JH, Elton CD. Lucas DN, et al. Anaesthesia. 2021 Oct;76(10):1426-1427. doi: 10.1111/anae.15528. Epub 2021 Jun 18. Anaesthesia. 2021. PMID: 34143444 No abstract available.
Recommendations for standards of monitoring in anaesthesia.
van Zundert AAJ, Gatt SP. van Zundert AAJ, et al. Anaesthesia. 2021 Oct;76(10):1427-1428. doi: 10.1111/anae.15551. Epub 2021 Jul 26. Anaesthesia. 2021. PMID: 34309012 No abstract available.

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References

1. European Board of Anaesthesiology. EBA recommendations for minimal monitoring during anaesthesia and recovery. 2012. http://www.eba-uems.eu/resources/PDFS/safety-guidelines/EBA-Minimal-moni... (accessed 17/01/2021).
1. American Society of Anesthesiologists. Standards for basic anesthetic monitoring. 2020. https://www.asahq.org/standards-and-guidelines/standards-for-basic-anest... (accessed 17/01/2021).
1. Australian and New Zealand College of Anaesthetists (ANZCA). PS18 Guidelines on monitoring during anaesthesia. 2017. https://www.anzca.edu.au/getattachment/0c2d9717-fa82-4507-a3d6-3533d8fa8... (accessed 17/01/2021).
1. Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA). International Standards for a Safe Practice of Anesthesia. Anesthesia and Analgesia 2018; 126: 2047-55.
1. Association of Anaesthetists of Great Britain and Ireland. Recommendations for standards of monitoring during anaesthesia and recovery 2015. Anaesthesia 2016; 71: 85-93.

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[1] European Board of Anaesthesiology. EBA recommendations for minimal monitoring during anaesthesia and recovery. 2012. http://www.eba-uems.eu/resources/PDFS/safety-guidelines/EBA-Minimal-moni... (accessed 17/01/2021).

[2] European Board of Anaesthesiology. EBA recommendations for minimal monitoring during anaesthesia and recovery. 2012. http://www.eba-uems.eu/resources/PDFS/safety-guidelines/EBA-Minimal-moni... (accessed 17/01/2021).

[3] American Society of Anesthesiologists. Standards for basic anesthetic monitoring. 2020. https://www.asahq.org/standards-and-guidelines/standards-for-basic-anest... (accessed 17/01/2021).

[4] American Society of Anesthesiologists. Standards for basic anesthetic monitoring. 2020. https://www.asahq.org/standards-and-guidelines/standards-for-basic-anest... (accessed 17/01/2021).

[5] Australian and New Zealand College of Anaesthetists (ANZCA). PS18 Guidelines on monitoring during anaesthesia. 2017. https://www.anzca.edu.au/getattachment/0c2d9717-fa82-4507-a3d6-3533d8fa8... (accessed 17/01/2021).

[6] Australian and New Zealand College of Anaesthetists (ANZCA). PS18 Guidelines on monitoring during anaesthesia. 2017. https://www.anzca.edu.au/getattachment/0c2d9717-fa82-4507-a3d6-3533d8fa8... (accessed 17/01/2021).

[7] Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA). International Standards for a Safe Practice of Anesthesia. Anesthesia and Analgesia 2018; 126: 2047-55.

[8] Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA). International Standards for a Safe Practice of Anesthesia. Anesthesia and Analgesia 2018; 126: 2047-55.

[9] Association of Anaesthetists of Great Britain and Ireland. Recommendations for standards of monitoring during anaesthesia and recovery 2015. Anaesthesia 2016; 71: 85-93.

[10] Association of Anaesthetists of Great Britain and Ireland. Recommendations for standards of monitoring during anaesthesia and recovery 2015. Anaesthesia 2016; 71: 85-93.

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Recommendations for standards of monitoring during anaesthesia and recovery 2021: Guideline from the Association of Anaesthetists

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Recommendations for standards of monitoring during anaesthesia and recovery 2021: Guideline from the Association of Anaesthetists

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