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Safer prehospital anaesthesia: updated guidelines from the Association of Anaesthetists

David Lockey1,2,3, Celestine Weegenaar4, Imran Ahmad5

  • 1Intensive Care Medicine and Anaesthesia, North Bristol NHS Trust, UK.

Anaesthesia
|March 24, 2026
PubMed

Insights

Updated guidelines for prehospital emergency anaesthesia emphasize standardized, safe practices. Well-trained clinical teams can deliver this high-risk intervention to high standards, even in critically ill patients.

Area of Science:

  • Anesthesiology
  • Emergency Medicine
  • Prehospital Care

Background:

  • Prehospital emergency anaesthesia is a high-risk intervention requiring standardized practices.
  • Guidelines have been updated to reflect changes in both prehospital and in-hospital emergency anaesthesia.
  • The aim is to promote safe anaesthetic practices in challenging prehospital environments.

Purpose of the Study:

  • To provide updated guidelines for prehospital emergency anaesthesia.
  • To encourage standardized and safe anaesthetic practices in prehospital settings.
  • To address key areas of prehospital emergency anaesthetic practice.

Main Methods:

  • A working group comprising experts and resident doctors from relevant specialties was formed.
  • A modified Delphi process was employed.
  • Targeted literature reviews were conducted to inform recommendations.

Main Results:

  • Recommendations cover general techniques, sedation, personnel, training, equipment, monitoring, pediatric cases, and transport.
  • Key areas of prehospital emergency anaesthetic practice were addressed.
  • Specific guidance was formulated for various aspects of the procedure.

Conclusions:

  • Prehospital emergency anaesthesia teams must be well-trained and competent.
  • The procedure can be delivered safely and to high standards, even in unstable patients.
  • Ensuring high standards in prehospital emergency anaesthesia is achievable.
Abstract

Keywords:
anaesthesiaemergencyguidelinesprehospital, tracheal intubation

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