NAP8: Complications of Regional Anaesthesia
NAP8: Major complications of regional anaesthesia and perioperative nerve injury
NAP8 will investigate major complications of regional anaesthesia as well as perioperative spinal cord and peripheral nerve injury. We aim to assess the incidence, current practice and outcomes of these various complications.
We are pleased to announce that the topic of the RCoA’s 8th National Audit Project (NAP8) will be complications of regional anaesthesia (peripheral blocks and central neuraxial blockade) and other neurological complications of anaesthesia.
Around 1 in 4 anaesthetics involve peripheral regional or central neuraxial block in some form. The NAP8 case registry will focus on the major complications of peripheral regional and central neuraxial anaesthesia and analgesia. The team will also conduct an activity survey to collect information around neurological complications associated with general anaesthesia.
While major complications of central neuraxial blocks was the subject of the College’s 3rd National Audit Project in 2009 (NAP3), there have since been changes in both practice and patient characteristics.
How will NAP8 work?
The NAP8 team are seeking a Local Coordinator in each hospital in the UK and Ireland. Please click here for further information.
Click Here to see your trusts Local Coordinator
Information on the role of the Local Coordinator can be found in the Local Coordinator Guide.
If you would like to be the Local Coordinator in your NHS, HSE or Independent Sector hospital then please email nap@rcoa.ac.uk.
Please see below details of the NAP8 Local Coordinators and Collaborators at each participating hospital.
Resources for Local Coordinators will be added here in due course.
Recruitment of moderators

More resources coming soon
Inclusion Criteria coming soon
Coming Soon
Meet the NAP8 team
Prof Alan Macfarlane is a Consultant Anaesthetist at Glasgow Royal Infirmary and Honorary Professor at the University of Glasgow. He is past-President of RA-UK, an editor at BJA Education and Associate Editor at the BJA. He recently led the development of the new GPAS chapter on Regional Anaesthesia.