Show simple item record

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 Anaesthetists and the Association of Anaesthetists of Great Britain and Irelanden

Accidental awareness during general anaesthesia with recall is a potentially distressing complication of general anaesthesia that can lead to psychological harm. The 5th National Audit Project was designed to investigate the reported incidence, predisposing factors, causality and impact of accidental awareness. A nationwide network of local co-ordinators across all UK and Irish public hospitals reported all new patient reports of accidental awareness to a central database, using a system of monthly anonymised reporting over a calendar year. The database collected the details of the reported event, anaesthetic and surgical technique, and any sequelae. These reports were categorised into main types by a multidisciplinary panel, using a formalised process of analysis. 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 categorisation was also defined for each report. Patient experience and sequelae were categorised using current tools or modifications of such. The 5th National Audit Project methodology may be used to assess new reports of accidental awareness during general anaesthesia in a standardised 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 5th National Audit Project - the full report can be found at

dc.format.extent1078 - 1088en
dc.subjectAnesthesia, Generalen
dc.subjectClinical Protocolsen
dc.subjectData Interpretation, Statisticalen
dc.subjectIntraoperative Awarenessen
dc.subjectMedical Auditen
dc.titleThe 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods and analysis of data.en
dc.typeJournal Article
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.rights.embargoperiodNo embargoen
rioxxterms.typeJournal Article/Reviewen

Files in this item


This item appears in the following Collection(s)

Show simple item record

All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
@mire NV