NAP5: the tip of the iceberg, or all we need to know?

Slides:



Advertisements
Similar presentations
2015 Alzheimer's disease facts and figures Alzheimer's & Dementia: The Journal of the Alzheimer's Association Volume 11, Issue 3, Pages (March.
Advertisements

Human factors in anaesthesia: lessons from aviation
Anaesthesia considerations in penetrating trauma
Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World.
Pain in cancer survivors; filling in the gaps
Why is the surgical high-risk patient still at risk?
X. Sun, J. Ellis, P.J. Corso, P.C. Hill, F. Chen, J. Lindsay 
5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent, and medicolegal.
Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia 
Parkinson's disease and anaesthesia
K.-Y. Ho, W Tay, M.-C. Yeo, H Liu, S.-J. Yeo, S.-L. Chia, N.-N. Lo 
Effect of combining tramadol and morphine in adult surgical patients: a systematic review and meta-analysis of randomized trials  V. Martinez, L. Guichard,
Gabapentin prophylaxis for postoperative nausea and vomiting in abdominal surgeries: a quantitative analysis of evidence from randomized controlled clinical.
A. Sankar, S.R. Johnson, W.S. Beattie, G. Tait, D.N. Wijeysundera 
Triaging the right patient to the right place in the shortest time
A different use of visual analytic techniques in anaesthetics
Neuraxial anaesthesia in patients with scoliosis
Perioperative statin therapy in patients at high risk for cardiovascular morbidity undergoing surgery: a review  B.A. de Waal, M.P. Buise, A.A.J. van.
Preoperative estimated glomerular filtration rate and the risk of major adverse cardiovascular and cerebrovascular events in non-cardiac surgery‡  A.
Intraoperative awareness: controversies and non-controversies
K.P. Mason  British Journal of Anaesthesia 
Dexamethasone and haemorrhage risk in paediatric tonsillectomy: a systematic review and meta-analysis  J.R. Bellis, M. Pirmohamed, A.J. Nunn, Y.K. Loke,
Neuromuscular junction in health and disease
Cefalotin as antimicrobial prophylaxis in patients with known intraoperative anaphylaxis to cefazolin  P.H.M. Sadleir, R.C. Clarke, P.R. Platt  British.
Psychology of pain British Journal of Anaesthesia
Do team processes really have an effect on clinical performance
Failure mode and effects analysis of the universal anaesthesia machine in two tertiary care hospitals in Sierra Leone  M.A. Rosen, J.B. Sampson, Jackson.
Differential diagnosis of facial pain and guidelines for management
Anaesthetists’ non-technical skills
Diastolic dysfunction, cardiopulmonary bypass, and atrial fibrillation after coronary artery bypass graft surgery  C.M. Ashes, M. Yu, M. Meineri, R. Katznelson,
Isotonic crystalloid solutions: a structured review of the literature
Successful intubation using retrograde trans-tracheal illumination after laryngoscope light source failure  J Hudson, M Vu, E Vu  British Journal of Anaesthesia 
A. R. Schmidt, P. Buehler, L. Seglias, T. Stark, B. Brotschi, T
D. Fletcher, V. Martinez  British Journal of Anaesthesia 
Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing  A. Sarang, J. Dinsmore  British Journal of Anaesthesia 
Distraction and interruption in anaesthetic practice
Systemic oxygen extraction during exercise at high altitude
B.C. Tsui, V.H. Ip  British Journal of Anaesthesia 
Efficacy of ventilation through a customized novel cuffed airway exchange catheter: a tracheal/lung model study  J. Oto, M.Q. Sun, R.M. Kacmarek, Y. Jiang 
Risk of new or recurrent cancer after a high perioperative inspiratory oxygen fraction during abdominal surgery  C.S. Meyhoff, L.N. Jorgensen, J. Wetterslev,
L1–2 roots block with psoas compartment block?
Ultrasound-guided popliteal sciatic nerve block using a pocket-sized ultrasound machine: preliminary evidence  T. Saranteas, F. Zafiropoulou, G. Kostopanagiotou,
Effect of supervised aerobic exercise rehabilitation on physical fitness and quality-of-life in survivors of critical illness: an exploratory minimized.
Damage control surgery in the era of damage control resuscitation
Observational study of the success rates of intubation and failed intubation airway rescue techniques in 7256 attempted intubations of trauma patients.
The third ultrasound dimension in anaesthesia and intensive care
Proposal for a surrogate surgical invasiveness score to obtain a ‘post hoc’ quantification of surgical stress and tissue trauma in the context of postoperative.
G.B. Drummond, B. Lafferty  British Journal of Anaesthesia 
Y. Suzuki, Y. Nishikawa, D. Horiuchi, K. Semba, T. Fujii, T. Higaki, Y
J.-L. Vincent, M.M. Wilkes, R.J. Navickis 
Teamwork, communication, and anaesthetic assistance in Scotland
J Lee, S Gupta, C Price, A.P. Baranowski 
Chronic widespread pain, including fibromyalgia: a pathway for care developed by the British Pain Society  J. Lee, B. Ellis, C. Price, A.P. Baranowski 
Effect of early tracheostomy on resource utilization and clinical outcomes in critically ill patients: meta-analysis of randomized controlled trials 
Ventilation with the Ventrain through a small lumen catheter in the failed paediatric airway: two case reports  M.G.A. Willemsen, R. Noppens, A.L.M. Mulder,
Observational study of current use of selective decontamination of the digestive tract in UK Critical Care units  R.R. Canter, S.E. Harvey, D.A. Harrison,
R Hofmeyr, A Myburgh  British Journal of Anaesthesia 
T. Greco, M. G. Calabrò, R. D. Covello, M. Greco, L. Pasin, A
Cut tracheal tube and GlideRite® Rigid Stylet
ICU fire evacuation preparedness in London: a cross-sectional study
Videolaryngoscopy as a new standard of care
Risk scores to facilitate preoperative prediction of transfusion and large volume blood transfusion associated with adult cardiac surgery†  R. Goudie,
Power of negative thinking
T. W. Jones, D. Houghton, S. Cassidy, G. A. MacGowan, M. I. Trenell, D
Regional anaesthesia to improve pain outcomes in paediatric surgical patients: a qualitative systematic review of randomized controlled trials  S. Suresh,
Predictor of fluid responsiveness in the ‘grey zone’: augmented pulse pressure variation through a temporary increase in tidal volume  J.J. Min, N.-S.
Controlled hypotension for middle ear surgery: a comparison between remifentanil and magnesium sulphate†   J.-H. Ryu, I.-S. Sohn, S.-H. Do  British Journal.
C.M. Chalmers, A.M. Bal  British Journal of Anaesthesia 
Wee L. , Barron J. , Toye R.   British Journal of Anaesthesia 
Closed-loop control of propofol anaesthesia using bispectral index™: performance assessment in patients receiving computer-controlled propofol and manually.
Presentation transcript:

NAP5: the tip of the iceberg, or all we need to know? A.R. Absalom, D. Green  British Journal of Anaesthesia  Volume 113, Issue 4, Pages 527-530 (October 2014) DOI: 10.1093/bja/aeu349 Copyright © 2014 The Author(s) Terms and Conditions

Fig 1 Venn diagram illustrating possible contingencies during a planned period of general anaesthesia: absence of consciousness and awareness throughout the planned period is represented by the green area, AAGA without subsequent recall of intraoperative events (grey area), AAGA associated with subsequent recall but no spontaneous report to an intermediary (red area), and AAGA associated with subsequent recall and a spontaneous report (black area). British Journal of Anaesthesia 2014 113, 527-530DOI: (10.1093/bja/aeu349) Copyright © 2014 The Author(s) Terms and Conditions