The 7th National Audit Project (NAP7) baseline survey of individual anaesthetists: preparedness for and experiences of peri-operative cardiac arrest

E Kursumovic; T M Cook; D N Lucas; M T Davies; S Martin; A D Kane; R A Armstrong; F C Oglesby; L Cortes; C Taylor; I K Moppett; S Agarwal; E Beecham; J Cordingley; J Dorey; S J Finney; G Kunst; G Nickols; R Mouton; J P Nolan; B Patel; V J Pappachan; F Plaat; B R Scholefield; J H Smith; L Varney; E C Wain; J Soar; collaborators

doi:10.1111/anae.16154

The 7th National Audit Project (NAP7) baseline survey of individual anaesthetists: preparedness for and experiences of peri-operative cardiac arrest

Anaesthesia. 2023 Dec;78(12):1453-1464. doi: 10.1111/anae.16154. Epub 2023 Nov 3.

Collaborators

collaborators:
N Ahmed, R Ingham, T Hall, T Hall, N Shah, E Tyson, M Wattie, A Ahmed, S Bajaj, R Bassi, A Bennett, N Egbuonu, P Khan, J Lambert, O McKinney, M Mittal, R Rathod, D Riddle, N Sudhan, N Ul Haq, J Balogova, C Bouts, M du Toit, B Gohil, S Ioannidis, S Dubey, L Crawford, B Hockenhull, G Illingworth, J Sanders, I Amin, D Fraser, L Godfrey, M Laurenson, E Osorio, M Rakic, S Thiunagari, A Tulloch, K Apostolidou, M Leong, P Murphy, A Antoniou-Fenwick, D Payam Bahadori, L Orgar, R Basavarajappa, D Swetman, V Bafitis, D Caldow, R Khade, R Mallah, N Piddock, O Tolson, C Chan, Y Mahmoud, S McFerran, S Vanapalli, A Monnickendam, J Pease, R Devlin, J Dumesh, A Kendall, S Thomas, P Chinduluri, F Saddington, A Selman, A Tan, R John, C Timmons, C Clarke, Z Milovanovic, R Smith, E Sousi, I Tribe, J Waiting, H Lamont, J Simon, K Wimble, K Chava, A Guirguis, R Hughes, A Mandal, M Morgan, V Waugh, J Webb, P Efthymiou, A Pitcher, S Rabaas, A Rabie, R Alder, S Butt, S Eswarappa, L Friedman, L Hynes, D Padman, S Shah, S Wood-Gismera, J Bem, V Boardman, A Elhodaiby, L MacNally, J Pippalapalli, R Rowe, N Stannard, S Turvill, J Brett, D Funnell, J Lawson, S Mohan, K Rhodes, D Pearson, R Ramsaran, S Shankar, L Shepherd, A Bhalla, O Henry, H McNamara, A Shah, C Sekhri, M Henwood, R Paramsothy, L Floyd, S Cheung, C Ward, A Gregory, R Phillips, H Rawlins, P Richardson, O Cohen, M Southworth, O Ross-Smith, S Patel, R Rebello, F Chin, M Manolis, S Park, Z Brown, J Mclean, J Gladwin, A Mann, R Mason, P Shetty, R Etomi, R Mall, R Benlloch, R Ghani, S Guha, S Hyder, A Kadiwar, C King, S Murdoch, P Thyveetil, E Fisher, H Brambley, D Crockett, J Cudlipp, A Dor, J Herdman, V Himic, V Himic, F Jegede, T Jones, V Kerner, K Kumar, Y Mahmoud, R Medlock, G Niblett, L Oakley, M Rahman, S Salim, S Shiels, E Derby, S Privalov, O Keating, S Ng, L Alvaro-Gracia, B Baljekar, P Howells, S Kajal, H Mohd Noor Nur, R Child, G Clarke, L Elvidge, S Gill, K Harland-Mears, W Jones, A McArdle, R Phillips, C Tilsley, V Chiappa, W Foers, E Haines, A Hunter, L Jones, A Lavin, L Markham, P Ong, R Wilcock, M Abayalingam, C Baker, T Bemand, A Chauhan, C Hensher, A Lakhani, G Patil, C Rowe, J Sumit Vaghani, U Kidwai, V Venkat Raman, V Padmanabhan, A Weir, A Casement, D O'Connor, S Antrolikar, D Dhaka, K Diridis, N Kordmahalleh, P Ramamurthi, S Salim, C Shin, D Wilson, A Rajkumar, A Adigwe, H Cullumbine, A Alim Khan, A Old, T O'Pray, P Smith, J Carter, M Edmondson, B Eldridge, A Gordon, C Hunter, R Pugsley, T Richards, K Saunders, S Steynberg, V Amin, T Anthony Pynadath, A Shah, F Makin, P Kadaramandalgi, V Lowden, B Marshall, N Oldrey, A Wheeler, L Prinz Zu Salm-Horstmar, S Tahir, J Taylor, J Avula, R Bains, K Dhamodaran, Y Soon, M Lehra, J Orr, M Arshad, A Balu, A Bhat, R Khunti, R Moss, L Quffa, D Sannakki, S Sannakki, J Yeung, K Sweet, C Webb, J Fearnley, M Hodgetts, B Patel, T Trouton, A Yasin, A Cash, A Nash, W Smith, D Nigalye, L Freeman, H Jennison, A Lee, D Viira, L Gallop, E Hobbiger, E Lusby, L Allan, A Knight, A McConville, N Granger, A Knight, A Martin, N Sexton, T Patel, A Hatalyak, M Ince, O Afelumo, C Gardiner, V Nirmalan, S Mease, M Morawski, C Robinson-Lynch, T Trynka-Watson, J Hollands, C Warden, V Withey, A Leonard, S Parsons, S Jones, T Rebello, D Yule, J Adams, Nick Black, Hannah Cooper, Peter Currie, C Curry, D Donnelly, S Marcus, J McCarter, M McDowell, S McGuirk, R McMullan, C Munn, M Nugdallah, P Pyper, J Stewart, N Sweeney, G Wallace, K Barrett, G Best, M Ferguson, S Gilliland, L McDowell, D Wright, A McCallum, R Vidion, R Harvey, M Bell, A Burden, J Doverty, A Muir, M Zikry, P Forget, N Nagdeve, E Chalmers, M Tait, R Karve, N Roy, S Gambhir, W Gaunt, J Lau, K McAleer, T Murphy, C O'Brien, M Sweeney, V Mei-Ling Chang, M Keller, M Kellner, A Macaskill Stewart, S Mackie, V Mei-Ling Chang, S Omar, D Blacoe, D Paal, R Tallach, R Dryden, L Meney, J Neil, L Valentine, N Albuquerque, M Casey, G Findlay, H Hare, E Mann, R McCusker, S Morrison, M Pass, R Patel, R Seatter, L Thompson, A Thornback, I McConachie, A Dalton, J Exley, K Foxwell, B Jones, M Magoub, O Smith, N Zalkapli, C Jones, R Bond, M Burton, T Hawkins, P Rogers, J Westwood, R Dhaliwal, P Ganesan, A Mekhael, S Rajaratnam, P Data, J Fox, L Kaur

PMID: 37920919
DOI: 10.1111/anae.16154

Abstract

The Royal College of Anaesthetists' 7th National Audit Project baseline survey assessed knowledge, attitudes, practices and experiences of peri-operative cardiac arrests among UK anaesthetists and Anaesthesia Associates. We received 10,746 responses, representing a 71% response rate. In-date training in adult and paediatric advanced life support was reported by 9646 (90%) and 7125 (66%) anaesthetists, respectively. There were 8994 (84%) respondents who were confident in leading a peri-operative cardiac arrest, with males more confident than females, but only 5985 (56%) were confident in leading a debrief and 7340 (68%) communicating with next of kin. In the previous two years, 4806 (46%) respondents had managed at least one peri-operative cardiac arrest, of which 321 (7%) and 189 (4%) of these events involved a child or an obstetric patient, respectively. Respondents estimated the most common causes of peri-operative cardiac arrest to be hypovolaemia, hypoxaemia and cardiac ischaemia, with haemorrhage coming fifth. However, the most common reported causes for the most recently attended peri-operative cardiac arrest were haemorrhage; (927, 20%); anaphylaxis (474, 10%); and cardiac ischaemia (397, 9%). Operating lists or shifts were paused or stopped after 1330 (39%) cardiac arrests and 1693 (38%) respondents attended a debrief, with 'hot' debriefs most common. Informal wellbeing support was relatively common (2458, 56%) and formal support was uncommon (472, 11%). An impact on future care delivery was reported by 196 (4%) anaesthetists, most commonly a negative psychological impact. Management of a peri-operative cardiac arrest during their career was reported by 8654 (85%) respondents. The overall impact on professional life was more often judged positive (2630, 30%) than negative (1961, 23%), but impact on personal life was more often negative.

Keywords: NAP7; anaesthesia; baseline survey; debrief; peri-operative cardiac arrest.

MeSH terms

Adult
Anesthetists
Child
Female
Heart Arrest*
Hemorrhage
Humans
Ischemia
Male
Surveys and Questionnaires

Grants and funding

Royal College of Anaesthetists