Recommendation from AIMS Meeting’s (Jan – June 2001)

1. Epidural top up’s should be written up as 5ml + 5ml +5ml instead of 15ml bolus. BP must be taken at 5min intervals after every top up.

2. LMA – only inflate until leak stops. Should not be inflated by a fixed amount or over-inflated.

3. In patients at risk from systemic opioids (eg sleep apnoea), non steroidal anti-inflammatory agents and non opioid analgesics should be used more aggressively

4. Anaesthetic circuits need to be checked at the start of each case and not only at the beginning of the list.

5. CSE should be done preferably at the L3-4 level in pregnant females as the level of the cord may be lower in pregnancy and the spinal needle is angulated by the epidural needle