Quick Reference Handbook

Quick Reference Handbook

The AAGBI is pleased to announce the membership consultation phase of its forthcoming Quick Reference Handbook (QRH) for unexpected crises in anaesthesia.

The QRH working party has followed the design layout developed by US safety pioneers Ariadne Labs to create a set of reference guidelines specifically relevant to UK practise. The final QRH will be distributed, by free download, in two formats: a complete version for immediate implementation and an editable version for local departments to customise.

The AAGBI QRH has guidelines in four distinct sections:

  1. “Key basic plan”an over-arching guideline for situations where the nature of the problem is completely unclear.
  2. “Unknowns” - guidelines for crises manifesting as signs or symptoms, where diagnosis and treatment are commonly simultaneous:
    Cardiac arrest; Hypoxia/desaturation/cyanosis; Increased airway pressure; Hypotension; Hypertension; Bradycardia; Tachycardia; Cardiac ischaemia; Perioperative hyperthermia.
  3.  “Knowns” - guidelines for crises where a known or suspected diagnosis or event requires treatment:
    Anaphylaxis; Massive blood loss; Can't intubate, can’t oxygenate (CICO); Bronchospasm; Circulatory embolus; Laryngospasm and stridor; Patient fire (airway and non-airway); Malignant hyperthermia crisis; Cardiac tamponade; Local anaesthetic toxicity; High central neuraxial blockade; Cardiac ischaemia; Neuroprotection following cardiac arrest; Sepsis.
  4. “Other” - guidelines for crises external to, but posing risk to the patient:
    Mains oxygen failure; Mains electricity failure; Emergency evacuation.

The members consultation closed on 20 December 2017. Thank you to all who submitted comments. The QRH will be launched soon, once all comments have been considered.