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 language | English (US) |
|---|---|
| Pages (from-to) | 1453-1464 |
| Number of pages | 12 |
| Journal | Anaesthesia |
| Volume | 78 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 2023 |
Keywords
- NAP7
- anaesthesia
- baseline survey
- debrief
- peri-operative cardiac arrest
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
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In: Anaesthesia, Vol. 78, No. 12, 12.2023, p. 1453-1464.
Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - The 7th National Audit Project (NAP7) baseline survey of individual anaesthetists
T2 - preparedness for and experiences of peri-operative cardiac arrest
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N1 - Funding Information: The project infrastructure is supported financially and with staffing from the Royal College of Anaesthetists. The NAP7 fellows' salaries are supported by: South Tees Hospitals NHS Foundation Trust (AK); Royal United Hospitals Bath NHS Foundation (EK); NIHR Academic Clinical Fellowship (RA). Panel members receive travel expenses and no remuneration. JS and TC's employers receive backfill for their time on the project (4 h per week). IM and SA are Editors of . We thank K. Samuel, S. Kendall and C. Bouch and the HSRC/RCoA research team including K. Williams (Research Project Co‐ordinator), J. Lourtie (Head of Research) and S. Drake (Director of Clinical Quality and Research) for supporting and collaborating on the project. We also wish to thank all independent sector local coordinators who contributed to this study. No other competing interests declared. Anaesthesia Funding Information: The project infrastructure is supported financially and with staffing from the Royal College of Anaesthetists. The NAP7 fellows' salaries are supported by: South Tees Hospitals NHS Foundation Trust (AK); Royal United Hospitals Bath NHS Foundation (EK); NIHR Academic Clinical Fellowship (RA). Panel members receive travel expenses and no remuneration. JS and TC's employers receive backfill for their time on the project (4 h per week). IM and SA are Editors of Anaesthesia. We thank K. Samuel, S. Kendall and C. Bouch and the HSRC/RCoA research team including K. Williams (Research Project Co-ordinator), J. Lourtie (Head of Research) and S. Drake (Director of Clinical Quality and Research) for supporting and collaborating on the project. We also wish to thank all independent sector local coordinators who contributed to this study. No other competing interests declared. Publisher Copyright: © 2023 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.
PY - 2023/12
Y1 - 2023/12
N2 - 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.
AB - 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.
KW - NAP7
KW - anaesthesia
KW - baseline survey
KW - debrief
KW - peri-operative cardiac arrest
UR - http://www.scopus.com/inward/record.url?scp=85175788055&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85175788055&partnerID=8YFLogxK
U2 - 10.1111/anae.16154
DO - 10.1111/anae.16154
M3 - Article
C2 - 37920919
AN - SCOPUS:85175788055
SN - 0003-2409
VL - 78
SP - 1453
EP - 1464
JO - Anaesthesia
JF - Anaesthesia
IS - 12
ER -