Printable Activity Survey

CHAPTER 27 1 The NAP5 Activity Survey Michael R J Sury James H MacG Palmer Tim M Cook Jaideep J Pandit headline 27.1 Details of current UK anaesthetic practice are unknown, and were needed for interpretation of reports of accidental awareness during general anaesthesia (AAGA) within NAP5.. NCEPOD category ASA Immediate Urgent Expedited Elective Total 1 33,600 281,900 68,500 845,900 1,229,900 38.00 2 17,000 199,600 66,300 1,019,000 1,302,000 40.23 3 9,400 156,600 51,900 386,500 604,400 18.67 4 18,400 40,500 11,900 19,200 90,000 2.78 5 7,000 1,800 400 400 9,600 0.30 0.02 6 Total 400 – – 200 500 85,800 680,400 198,900 2,271,100 3,236,300 2.65 21.03 6.15 70.18 Caesarean Section category ASA 4 Total 1 6,100 1 25,500 8,300 20,800 60,700 66.27 2 4,000 11,400 2,200 11,000 28,500 31.16 3 500 900 500 – 2,000 2.17 4 – – 200 200 400 0.39 5 – – – – – 0.00 0.00 – – – – – 37,800 11,200 32,000 91,600 11.64 41.22 12.23 34.91 234 3 10,700 6 Total 2 NAP5 Report and findings of the 5th National Audit Project Table 27.2 ASA and Urgency.. A: Non-obstetric cases Epidural General Anaesthesia Deep sedation Moderate sedation Minimal Sedation Awake (no sedation) Total Spinal Combined spinal CNB + Any CNB and epidural other block technique None 56,700 43,200 500 7,600 108,000 2,564,200 (87 ) (20 ) (10 ) (38 ) (35 ) (89.1 ) 200 12,800 500 1,100 14,600 48,800 (0 ) (6 ) (10 ) (5 ) (4.7 ) (1.7 ) 43,400 500 54,400 2,000 6,500 63,400 (1 ) (25 ) (38 ) (32 ) (20.6 ) (1.5 ) 900 59,100 1,400 3,400 64,900 56,400 (1 ) (27 ) (28 ) (17 ) (21 ) (2 ) 7,000 48,200 700 1,600 57,600 165,700 (11 ) (22 ) (14 ) (8 ) (18.7 ) (5.7 ) 65,400 217,700 5,200 20,200 308,500 2,878,400 0 5,100 16,300 (3 ) (75.6 ) B: Obstetric cases General Anaesthesia Sedation (deep, moderate or minimal) 3,100 1,600 400 (8 ) (1.5 ) (2.3 ) 0 700 1,100 (2 ) (0.3 ) 0 1,800 400 (0.6 ) (1.7 ) Awake (no sedation) 121,600 137,000 17,900 400 276,800 4,900 (90 ) (98.2 ) (97.7 ) (100 ) (96.4 ) (22.7 ) Total 125,400 139,700 18,200 400 283,700 21,50