The department runs a range of services alongside the anaesthetic management of complex orthopaedic procedures. It is a consultant led service with twenty seven consultants and eight specialist registrars. The British Society of Orthopaedic Anaesthetists was inaugurated at the Royal National Orthopaedic Hospital in 1996.
The service provides peri-operative care for a wide range of procedures including spinal deformity and injury, paediatric orthopaedics, bone tumour surgery, brachial plexus and peripheral nerve surgery, and revision joint replacement surgery. Regional blockade and peripheral nerve blocks are commonly used and maintained postoperatively for analgesia.