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. NolanB. Patel, V. J. Pappachan, F. Plaat, B. R. Scholefield, J. H. Smith, L. Varney, E. C. Wain, J. Soar, 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

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1453-1464
Number of pages12
JournalAnaesthesia
Volume78
Issue number12
DOIs
Publication statusPublished - Dec 2023

Bibliographical note

Publisher Copyright:
© 2023 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.

Keywords

  • NAP7
  • anaesthesia
  • baseline survey
  • debrief
  • peri-operative cardiac arrest

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