Anaesthesia associate

Short description: Type of healthcare worker in the UK

In the United Kingdom , an anaesthesia associate is a healthcare worker who provides anaesthesia under the medical direction and supervision of a consultant anaesthetist (who is a medical doctor).[1] Anaesthesia associates are not doctors themselves, but rather enter the role by completing a 27-month full-time training programme which leads to the award of a postgraduate diploma, or alternatively a 24-month training programme via University College London leading to a Master's degree.[2] It is classed as a medical associate profession. To be eligible, a candidate must have a previous degree in a biomedical or science subject, or recognised previous healthcare experience in another role.[3]

The role was introduced into the UK National Health Service in 2004, under the title of physicians' assistant (anaesthesia), abbreviated to PA(A). The current name for the role was introduced in July 2019.[4] Despite the similarity of the name, the role was always distinct from physician assistant, which refers to a non-doctor practitioner who works in areas of medicine other than anaesthesia.[5] At present, the role is not subject to statutory regulation, meaning it is not mandatory for anaesthesia associates to be registered with any professional body. In July 2019, the UK government announced its intention to request that the General Medical Council would in future regulate anaesthesia associates as a distinct profession.[6]

Serious concerns about the lack of regulation, transparency of professional background, and scope of practise, of anaesthesia associates have been raised by Anaesthetists United, a grass-roots group of anaesthetists, triggering an Extraordinary General Meeting of the Royal College of Anaesthetists on 17 October 2023. Those calling the Extraordinary General Meeting achieved a landslide victory on all motions proposed.[7]

## References

1. ↑ "Physicians' Assistant (Anaesthesia)". Royal College of Anaesthetists. https://www.rcoa.ac.uk/anaesthesia-related-professionals/physicians-assistant-anaesthesia. Retrieved 21 October 2018.
2. ↑ "Anaesthesia and Perioperative Science MSc" (in en). 2021-10-12. https://www.ucl.ac.uk/prospective-students/graduate/taught-degrees/anaesthesia-and-perioperative-science-msc.
3. ↑ "Training, development and registration (physicians' assistant - anaesthesia)". NHS Education England. 30 March 2015. https://www.healthcareers.nhs.uk/explore-roles/medical-associate-professions/roles-medical-associate-professions/physicians-assistant-anaesthesia/training-development-and-registration. Retrieved 22 October 2018.
4. ↑ "Association of Anaesthesia Associates" (in en-GB). https://www.anaesthesiaassociates.org/.
5. ↑ "Medical associate professions". NHS Education England. https://www.healthcareers.nhs.uk/explore-roles/medical-associate-professions. Retrieved 22 October 2018.
6. ↑ "Written statements - Written questions, answers and statements - UK Parliament". https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2019-07-18/HCWS1741/.
7. ↑ "Outcome of the RCoA Extraordinary General Meeting on 17 October 2023 | The Royal College of Anaesthetists" (in en). https://rcoa.ac.uk/news/outcome-rcoa-extraordinary-general-meeting-17-october-2023.

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Anesthesia and anesthesiology

Types|

* General
* Sedation
* Twilight anesthesia
* Local
* Topical
* Intercostal nerve block
* Neuraxial blockade
* Spinal
* Epidural
* Dental
* Inferior alveolar nerve

Techniques|

* Airway management
* Anesthesia provision in the US
* Arterial catheter
* Bronchoscopy
* Capnography
* Dogliotti's principle
* Drug-induced amnesia
* Intraoperative neurophysiological monitoring
* Nerve block
* Penthrox inhaler
* Tracheal intubation

Scientific principles|

* Blood–gas partition coefficient
* Concentration effect
* Fink effect
* Minimum alveolar concentration
* Second gas effect

Measurements|

* ASA physical status classification system
* Baricity
* Bispectral index
* Entropy monitoring
* Fick principle
* Goldman index
* Guedel's classification
* Mallampati score
* Neuromuscular monitoring
* Thyromental distance

Instruments|

* Anaesthetic machine
* Anesthesia cart
* Boyle's machine
* Gas cylinder
* Laryngeal mask airway
* Laryngeal tube
* Medical monitor
* Odom's indicator
* Relative analgesia machine
* Vaporiser
* Double-lumen endotracheal tube
* Endobronchial blocker

Complications|

* Emergence delirium
* Allergic reactions
* Anesthesia awareness
* Local anesthetic toxicity
* Malignant hyperthermia
* Perioperative mortality
* Postanesthetic shivering
* Postoperative nausea and vomiting
* Postoperative residual curarization

Subspecialties|

* Cardiothoracic
* Critical emergency medicine
* Geriatric
* Intensive care medicine
* Obstetric
* Oral sedation dentistry
* Pain medicine

Professions|

* Anesthesiologist
* Anesthesiologist assistant
* Nurse anesthetist
* Operating department practitioners
* Certified Anesthesia Technician
* Certified Anesthesia Technologist
* Anaesthetic technician
* Physicians' assistant (anaesthesia)

History|

* ACE mixture
* Helsinki Declaration for Patient Safety in Anaesthesiology
* History of general anesthesia
* History of neuraxial anesthesia
* History of tracheal intubation

Organizations|

* American Association of Nurse Anesthetists
* American Society of Anesthesia Technologists & Technicians
* American Society of Anesthesiologists
* Anaesthesia Trauma and Critical Care
* Association of Anaesthetists of Great Britain and Ireland
* Royal College of Anaesthetists
* Association of Veterinary Anaesthetists
* Australian and New Zealand College of Anaesthetists
* Australian Society of Anaesthetists
* International Anesthesia Research Society

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* Outline

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