Organisation of UK hospitals and anaesthetic departments in the treatment of peri-operative cardiac arrest: an analysis from the 7th National Audit Project (NAP7) local co-ordinator baseline survey

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

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

We report the results of the Royal College of Anaesthetists' 7th National Audit Project organisational baseline survey sent to every NHS anaesthetic department in the UK to assess preparedness for treating peri-operative cardiac arrest. We received 199 responses from 277 UK anaesthetic departments, representing a 72% response rate. Adult and paediatric anaesthetic care was provided by 188 (95%) and 165 (84%) hospitals, respectively. There was no paediatric intensive care unit on-site in 144 (87%) hospitals caring for children, meaning transfer of critically ill children is required. Remote site anaesthesia is provided in 182 (92%) departments. There was a departmental resuscitation lead in 113 (58%) departments, wellbeing lead in 106 (54%) and departmental staff wellbeing policy in 81 (42%). A defibrillator was present in every operating theatre suite and in all paediatric anaesthesia locations in 193 (99%) and 149 (97%) departments, respectively. Advanced airway equipment was not available in: every theatre suite in 13 (7%) departments; all remote locations in 103 (57%) departments; and all paediatric anaesthesia locations in 23 (15%) departments. Anaesthetic rooms were the default location for induction of anaesthesia in adults and children in 148 (79%) and 121 (79%) departments, respectively. Annual updates in chest compressions and in defibrillation were available in 149 (76%) and 130 (67%) departments, respectively. Following a peri-operative cardiac arrest, debriefing and peer support programmes were available in 154 (79%) and 57 (29%) departments, respectively. While it is likely many UK hospitals are very well prepared to treat anaesthetic emergencies including cardiac arrest, the survey suggests this is not universal.

Original languageEnglish
Pages (from-to)1442-1452
Number of pages11
JournalAnaesthesia
Volume78
Issue number12
DOIs
Publication statusPublished - Dec 2023
Externally publishedYes

Keywords

  • NAP7
  • anaesthesia
  • anaesthetic departments
  • baseline survey
  • peri-operative cardiac arrest

Fingerprint

Dive into the research topics of 'Organisation of UK hospitals and anaesthetic departments in the treatment of peri-operative cardiac arrest: an analysis from the 7th National Audit Project (NAP7) local co-ordinator baseline survey'. Together they form a unique fingerprint.

Cite this