Clinical Guidelines

Information for patients and families: risks associated with prone positioning during general anaesthesia.

This document is intended as an organisational framework to prepare and inform patients and their relatives. It is not intended as a substitute for informed discussion and consent between the patient and their clinical team.

Guidelines for the management of devastating brain injury

The National Institute of Academic Anaesthesia was established in March 2008. Its vision, with respect to anaesthesia and related specialties, is to improve patient care by promoting the translation of research findings into clinical practice; develop and maximise its academic profile within the healthcare profession, NHS, universities and major research bodies; facilitate high profile, influential research; facilitate and support training and continuing professional education in academia.

Intensive Care guidance for the management
of vaccine induced immune-thrombocytopenia
and thrombosis (VITT)

This guidance has been endorsed by the Intensive Care Society (ICS), the Neuro Anaesthesia
and Critical Care Society (NACCS), and the British Society of Neurological Surgeons (BSNS). The
guidelines have been approved by the Association of British Neurologists (ABN).

Management of cardiac arrest during neurosurgery in adults

The resuscitation council have worked jointly with NACCS and SBNS to produce this guidance. This provides a useful overview of the issues and problems associated with a cardiac arrest occurring a spinal or neurosurgical procedure. It covers resuscitation according to patient position, as a well as dealing with such issues as defibrillation if the patient is in pins, managing an open head wound and air embolism. The document can be accessed here.

Joint statement by NACCS and SBNS on the measurement of CPP

After requests from members of the society for the NACCS to take a view on standards for monitoring and calculating CPP, the following joint statement has been agreed with the SBNS: Joint position statement by the Councils of the Neuroanaesthesia and Critical Care Society of Great Britain and Ireland(NACCS) and the Society of British Neurological Surgeons (SBNS) with regards to the calculation of cerebral perfusion pressure in the management of traumatic brain injury.

Standards for providing safe acute ischaemic stroke thrombectomy services

The NACCS welcomes and fully supports this document as an important first step in introducing a standard of care for those patients who require urgent thrombectomy after failed thrombolysis for ischaemic stroke. Although thrombectomy is still not in itself a recognised standard of therapeutic intervention for stroke patients and large studies are still on going to look at this.