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

Kursumovic, E; Cook, TM; Lucas, DN; Davies, MT; Martin, S; Kane, AD; Armstrong, RA; Oglesby, FC; Cortes, L; Taylor, C; Moppett, IK; Agarwal, S; Beecham, E; Cordingley, J; Dorey, J; Finney, SJ; Kunst, G; Nickols, G; Mouton, R; Nolan, JP; Patel, B; Pappachan, VJ; Plaat, F; Scholefield, BR; Smith, JH; Varney, L; Wain, EC; Soar, J; collaborators

doi:10.1111/anae.16154

Safety, quality & education

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

AnaesthesiaPublished 3 Nov 2023Cross-sectional study

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Study context

Population: UK anaesthetists and Anaesthesia Associates71% response rate
Participants: 10,746 participants

Outcome: Preparedness for and experiences of peri-operative cardiac arrest

Methodological detailsnational survey, baseline survey

National survey
Baseline survey

Main finding

As reported in the abstract

In-date adult ALS training: 9646 (90%)
In-date paediatric ALS training: 7125 (66%)
Confident leading a peri-operative cardiac arrest (males more confident than females): 8994 (84%)
Confident leading a debrief: 5985 (56%)
Confident communicating with next of kin: 7340 (68%)
Managed ≥1 peri-operative cardiac arrest in previous two years: 4806 (46%)
Of these, involving a child: 321 (7%)
Of these, involving an obstetric patient: 189 (4%)
Managed a peri-operative cardiac arrest during career: 8654 (85%)

Observational data: associations, not effects.

Further findings

Causes of most recently attended peri-operative cardiac arrest

Haemorrhage: 927, 20%
Anaphylaxis: 474, 10%
Cardiac ischaemia: 397, 9%
Respondents' estimated most common causes: hypovolaemia, hypoxaemia, cardiac ischaemia; haemorrhage fifth

After the cardiac arrest

Operating lists or shifts paused or stopped: 1330 (39%)
Attended a debrief ('hot' debriefs most common): 1693 (38%)
Informal wellbeing support: 2458, 56%
Formal support: 472, 11%
Impact on future care delivery (most commonly negative psychological impact): 196 (4%)

Overall impact on professional life

Positive: 2630, 30%
Negative: 1961, 23%
Impact on personal life more often negative

Original publication

The 7th National Audit Project ( NAP7 ) baseline survey of individual anaesthetists: preparedness for and experiences of peri‐operative cardiac arrest. Anaesthesia. Published 3 November 2023. doi:10.1111/anae.16154

Read the original article ↗

Composed by AI from the published abstract and checked against it. How Briefs are made →