4th National Audit Project (NAP4)

 

NAP4: Full report (6.2MB)

Press Release
Executive Summary

Section 1: Project description and quantitative analysis

Section 2: Clinical reviews

Section 3: Appendices

NAP4 Report Launch and Study Day Podcasts
NAP4 Report Launch and Study Day Presentations

Click here to view podcasts via iTunes
 

A major UK study on complications of anaesthesia has shown that obese patients are twice as likely to develop serious airway problems during a general anaesthetic than non-obese patients. ‘The airway’ means the air passages from the outside world to the lungs, which must be kept open to keep the patient alive. The study also shows that the use of a simple breathing monitor, called a capnograph, could significantly reduce deaths and brain damage from such problems in intensive care units (ICUs); it found that absence of capnography contributed to 74% of deaths from these events in ICUs during the study.


For any further enquiries please contact:

Dr Tim Cook
Consultant Anaesthetist
Royal United Hospital, Bath
Joint Lead for the 4th National Anaesthesia Audit
tcook@rcoa.ac.uk

Dr Nick Woodall
Co-Audit Lead, 4th National Audit Project (NAP4)
nicholas.woodall@nnuh.nhs.uk

Dr Chris Frerk
Consultant Anaesthetist
Northampton General Hospital, Northampton
chrisfrerk261@btinternet.com


Archive: Original NAP4 audit pack (PDF) 


Published articles:

Original paper 1: Cook TM, Woodall N, Frerk C; Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth 2011;106:617-631.

Original paper 2: Cook TM, Woodall N, Harper J, Benger J; Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. Br J Anaesth 2011;106:632-642.

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