作者
JJ Pandit, Jackie Andrade, DG Bogod, JM Hitchman, WR Jonker, N Lucas, JH Mackay, AF Nimmo, K O'Connor, EP O'Sullivan, RG Paul, JH MacG Palmer, F Plaat, JJ Radcliffe, MRJ Sury, HE Torevell, M Wang, J Hainsworth, TM Cook, James Armstrong, Jonathan Bird, Alison Eddy, William Harrop-Griffiths, Nicholas Love, Ravi Mahajan, Abhiram Mallick, Ian Barker, Anahita Kirkpatrick, Jayne Molodynski, Karthikeyen Poonnusamy, Ramani Moonesinghe, David Weatherill, David Smith, Maddy Humphrey, Mary Casserly, Sharon Drake, Jairaj Rangasami, Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland
发表日期
2014/10/1
期刊
British journal of anaesthesia
卷号
113
期号
4
页码范围
549-559
出版商
Oxford University Press
简介
We present the main findings of the 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia (AAGA). Incidences were estimated using reports of accidental awareness as the numerator, and a parallel national anaesthetic activity survey to provide denominator data. The incidence of certain/probable and possible accidental awareness cases was ∼1:19 600 anaesthetics (95% confidence interval 1:16 700–23 450). However, there was considerable variation across subtypes of techniques or subspecialities. The incidence with neuromuscular block (NMB) was ∼1:8200 (1:7030–9700), and without, it was ∼1:135 900 (1:78 600–299 000). The cases of AAGA reported to NAP5 were overwhelmingly cases of unintended awareness during NMB. The incidence of accidental awareness during Caesarean section was ∼1:670 (1:380–1300). Two-thirds (82, 66%) of cases of accidental …
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