1. Patients having peri-bulbar blocks for ophthalmic surgery need a cannula inserted and an anaesthetist present prior to inserting the block.
2. The protocols for calling a cardiac arrest in theatre need to be re-assessed.
3. Drug labels on ampoules need to be carefully read before giving any drugs
4. Patients with PIH should have at least hourly BP recordings in delivery suite. There should be an automated NIBP in all the delivery rooms.
5. Standard concentrations of Remifentanyl should be used throughout the hospital.
6. All patients requiring anaesthetic assistance at angiography should be done in the Toshiba room, which has an anaesthetic machine.
7. If the pain team discovers any post-op problems, the anaesthetist concerned must be informed.
8. Epidural catheters should be assembled, the tips checked and flushed before insertion.
9. Paracetamol should be used with caution or not at all after major liver resections.
10. All analgesic drugs prescribed for post-op pain relief should be limited to 3 days. After 3 days the surgical or pain team should review analgesics.