Evidence map›Paper›PMID 41873247›Full record

GuidelineAnaesthesia2026

Safer prehospital anaesthesia: updated guidelines from the Association of Anaesthetists.

David Lockey, Celestine Weegenaar, Imran Ahmad, Pascale Avery, Philip Cowburn, Richard M Lyon, Giles Nordmann, Andrew J Pountney, Cosmo F M Scurr, Matthew D Wiles

Abstract readPractice GuidelineReview
In one paragraph

Guideline in Anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Chasing time targets in pre-hospital emergency anaesthesia: is it time to rethink?Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Article
  2. Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

David LockeyIntensive Care Medicine and Anaesthesia, North Bristol NHS Trust, UK.ORCID 0000-0003-0180-9197
Celestine WeegenaarGreat Western Air Ambulance, UK.
Imran AhmadAnaesthesia and Peri-operative Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Pascale AveryWales Air Ambulance, UK.
Philip CowburnUniversity Hospitals Bristol NHS Foundation Trust.
Richard M LyonEmergency Medicine and Prehospital Care, NHS Lothian, UK.
Giles NordmannRoyal Centre for Defence Medicine, Birmingham, UK.
Andrew J PountneyYorkshire Ambulance Service, UK.
Cosmo F M ScurrPrehospital Emergency Medicine, Department of Prehospital Care, Barts Health NHS Trust, London, UK.
Matthew D WilesCentre for Applied Health and Social Care Research, Sheffield Hallam University, Sheffield, UK.ORCID 0000-0003-2299-0060

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrehospital emergency anaesthesia is recognised as a high-risk clinical intervention. These updated guidelines consider changes in prehospital practice and parallel changes in the practice of in-hospital emergency anaesthesia, with the aim of encouraging standardised safe anaesthetic practice in a challenging clinical area.

methodA working group was set up by the Association of Anaesthetists to include experts and resident doctors working in prehospital emergency medicine, anaesthesia, intensive care medicine and emergency medicine. There was also representation from relevant specialist groups and societies. We used a modified Delphi process and conducted targeted literature reviews to inform recommendations.

resultsWe formulated recommendations in several key areas of prehospital emergency anaesthetic practice including general techniques; sedation before prehospital emergency anaesthesia; personnel and training; equipment and monitoring; prehospital emergency anaesthesia in children; and transport. DISCUSSION: Clinical teams that provide prehospital emergency anaesthesia must be well trained and competent to deliver the procedure to the same standards as their colleagues in the receiving emergency department. Although patients requiring prehospital emergency anaesthesia are often physiologically unstable and have pathology associated with a high mortality, there is good evidence that prehospital emergency anaesthesia can be delivered safely and to high standards.

Indexed as

AnesthesiaAnesthesiologyEmergency Medical ServicesAnesthetistsHumansPatient SafetyPediatric Anesthesiaanaesthesiaemergencyguidelinesprehospital, tracheal intubation

Identifiers

PMID41873247
PMCPMC13352551

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.