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The article reflects on the use of consensus by the Association of Anaesthetists of Great Britain and Ireland (AAGBI) for producing its guidelines. Topics include suggestions from membership of the AAGBI for new working parties; online consultation with the AAGBI's membership on draft copy of the guideline; and packaging of guidelines in smart phone application for its members.

This guideline updates and replaces the 4th edition of the AAGBI Standards of Monitoring published in 2007. The aim of this document is to provide guidance on the minimum standards for physiological monitoring of any patient undergoing anaesthesia or sedation under the care of an anaesthetist. The recommendations are primarily aimed at anaesthetists practising in the United Kingdom and Ireland. Minimum standards for monitoring patients during anaesthesia and in the recovery phase are included. There is also guidance on monitoring patients undergoing sedation and also during transfer of anaesthetised or sedated patients. There are new sections discussing the role of monitoring depth of anaesthesia, neuromuscular blockade and cardiac output. The indications for end-tidal carbon dioxide monitoring have been updated. [ABSTRACT FROM AUTHOR]

Guidelines are presented for the organisational and clinical peri-operative management of anaesthesia and surgery for patients who are obese, along with a summary of the problems that obesity may cause peri-operatively. The advice presented is based on previously published advice, clinical studies and expert opinion. [ABSTRACT FROM AUTHOR]

Comments on the training program for anesthetists produced by the Royal College of Anaesthesists. Methods of competency assessment; Integration of knowledge, skill and attitude into a final Senior House Officer Training Certificate.

A letter to the editor is presented in response to the article "Association of Anaesthetists of Great Britain and Ireland. ri-operative management of the surgical patient with diabetes 2015" in a 2015 issue.

The article provides information on the role of Anaesthetist Subcommittees of the Central Consultants and Specialist Committee (CCSC), under the British Medical Association (BMA) in medicine in Great Britain. It notes that CCSC is organized to deliver intensive care medicine and pain medicine. Moreover, policies of BMA can be influenced by the activity of the CCSC Subcommittees.

The article offers information about the Independent Practice Committee (IPC) of the Association of Anaesthetists of Great Britain and Ireland (AAGBI). It cites the goals and members of the committee, the number of meetings conducted every year and its representation to the Board of the Federation of Independent Practitioner Organisations. It also explores the achievements made by IPC including the creation of two very useful glossies in the practice of anesthesiology.

The article highlights the Scottish Standing Committee of the Association of Anaesthetists of Great Britain and Ireland (AAGBI). The author throws the question on whether there is a need for the Scottish Standing Committee. According to the author, there is a need for an instrument for anesthesia if anesthetists aspire to remain as a specialty and a service across legislatures.

Reports on the guidance issued by the Neuroanaesthesia Society and the Association of Anaesthetists of Great Britain and Ireland on the transfer of critically ill patients between intensive care units in the Northern region. Problems on the quality of transfer documentation; Failure to monitor anaesthetized patients.