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dc.contributor.authorPandit, JJen
dc.contributor.authorAndrade, Jen
dc.contributor.authorBogod, DGen
dc.contributor.authorHitchman, JMen
dc.contributor.authorJonker, WRen
dc.contributor.authorLucas, Nen
dc.contributor.authorMackay, JHen
dc.contributor.authorNimmo, AFen
dc.contributor.authorO'Connor, Ken
dc.contributor.authorO'Sullivan, EPen
dc.contributor.authorPaul, RGen
dc.contributor.authorPalmer, JHMen
dc.contributor.authorPlaat, Fen
dc.contributor.authorRadcliffe, JJen
dc.contributor.authorSury, MRJen
dc.contributor.authorTorevell, HEen
dc.contributor.authorWang, Men
dc.contributor.authorCook, TMen
dc.contributor.authorRoyal College of Anaesthetistsen
dc.contributor.authorAssociation of Anaesthetists of Great Britain and Irelanden
dc.date.accessioned2016-12-22T12:11:33Z
dc.date.available2016-12-22T12:11:33Z
dc.date.issued2014-10en
dc.identifier.urihttp://hdl.handle.net/10026.1/8156
dc.description.abstract

BACKGROUND: Accidental awareness during general anaesthesia (AAGA) with recall is a potentially distressing complication of general anaesthesia that can lead to psychological harm. The 5th National Audit Project (NAP5) was designed to investigate the reported incidence, predisposing factors, causality, and impact of accidental awareness. METHODS: A nationwide network of local co-ordinators across all the UK and Irish public hospitals reported all new patient reports of accidental awareness to a central database, using a system of monthly anonymized reporting over a calendar year. The database collected the details of the reported event, anaesthetic and surgical technique, and any sequelae. These reports were categorized into main types by a multidisciplinary panel, using a formalized process of analysis. RESULTS: The main categories of accidental awareness were: certain or probable; possible; during sedation; on or from the intensive care unit; could not be determined; unlikely; drug errors; and statement only. The degree of evidence to support the categorization was also defined for each report. Patient experience and sequelae were categorized using current tools or modifications of such. CONCLUSIONS: The NAP5 methodology may be used to assess new reports of AAGA in a standardized manner, especially for the development of an ongoing database of case reporting. This paper is a shortened version describing the protocols, methods, and data analysis from NAP5--the full report can be found at http://www.nationalauditprojects.org.uk/NAP5_home.

en
dc.format.extent540 - 548en
dc.languageengen
dc.language.isoengen
dc.subjectAAGAen
dc.subjectawarenessen
dc.subjectconsciousnessen
dc.subjectmechanismsen
dc.subjectAnesthesia, Generalen
dc.subjectCognitionen
dc.subjectData Collectionen
dc.subjectData Interpretation, Statisticalen
dc.subjectDatabases, Factualen
dc.subjectEvidence-Based Medicineen
dc.subjectHealth Care Surveysen
dc.subjectHeart Arresten
dc.subjectHumansen
dc.subjectIntraoperative Awarenessen
dc.subjectIntraoperative Complicationsen
dc.subjectIrelanden
dc.subjectMedical Errorsen
dc.subjectNeuromuscular Blockadeen
dc.subjectStress Disorders, Post-Traumaticen
dc.subjectTreatment Outcomeen
dc.subjectUnited Kingdomen
dc.title5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/25204695en
plymouth.issue4en
plymouth.volume113en
plymouth.publication-statusPublisheden
plymouth.journalBr J Anaesthen
dc.identifier.doi10.1093/bja/aeu312en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/00 Groups by role
plymouth.organisational-group/Plymouth/00 Groups by role/Academics
plymouth.organisational-group/Plymouth/Faculty of Health and Human Sciences
plymouth.organisational-group/Plymouth/Faculty of Health and Human Sciences/School of Psychology
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA04 Psychology, Psychiatry and Neuroscience
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Centre for Brain, Cognition and Behaviour (CBCB)
plymouth.organisational-group/Plymouth/Research Groups/Centre for Brain, Cognition and Behaviour (CBCB)/Cognition
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
dc.publisher.placeEnglanden
dc.identifier.eissn1471-6771en
dc.rights.embargoperiodNo embargoen
rioxxterms.versionofrecord10.1093/bja/aeu312en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.typeJournal Article/Reviewen
plymouth.oa-locationhttp://bja.oxfordjournals.org/content/113/4/540en


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