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3rd National Audit Project (NAP3)

NAP3 report

National Audit of Major Complications of Central Neuraxial Block in the United Kingdom

Report and Findings
January 2009

If you would like a hard copy of this publication please email standards@rcoa.ac.uk


Full report (large file - 6MB) »
Please note this file may take some time to download.



Introductions
  • Review Panel and Acknowledgements
  • Contents
  • Foreword
  • About this report
  • Executive Summary

    Section 1: Project Description and quantitative analysis

  • Introduction
  • Potential benefits of central neuraxial block
  • Project methods
    Quantitative Analysis
  • Results
  • Discussion

    Section 2: Clinical Reviews

  • Clinical reviews by complication type
  • Clinical reviews by indication

    Section 3: Appendices


    Also available:

  • PowerPoint presentation of the NAP3 results (PDF format) »
    Presented by Dr Tim Cook at the Anaesthesia Safety Conference, 12 January 2009
  • NAP3: Executive Summary »


    The largest ever prospective study into the major complications of epidurals and spinal anaesthetics published in the British Journal of Anaesthesia today (Monday 12 January 2009) concludes that previous studies have over-estimated the risks of severe complications of these procedures. The study concludes that the estimated risk of permanent harm following a spinal anaesthetic or epidural is lower than 1 in 20,000 and in many circumstances the estimated risk is considerably lower.

    For further information please contact:

    Charlie McLaughlan – Director of Professional Standards, Royal College of Anaesthetists
    Email: cmclaughlan@rcoa.ac.uk

    Tim Cook – Consultant anaesthetist, Royal United Hospital
    Email: tcook@rcoa.ac.uk

  • This page last updated on 03/02/2010

    Useful Links
    For any further enquiries please contact:

    Dr Tim Cook
    Consultant Anaesthetist
    Royal United Hospital, Bath
    Lead for the 3rd National Anaesthesia Audit
    tcook@rcoa.ac.uk »

    The original NAP3 project plan and audit pack »

    Churchill House, 35 Red Lion Square, London WC1R 4SG
    tel: 020 7092 1500 fax: 020 7092 1730 email: info@rcoa.ac.uk
    © The Royal College of Anaesthetists