NAP - national audit project

Question 1

What are the NAPs 3-6

Answer 1

NAiA wAn

neuraxial
airway
awareness
anaphylaxis

Question 2

NAP3

Answer 2

Neuraxial compliations

1/50k-100k - para
1/25-50k - perm nerve inj

KN

Question 3

NAP4 + PS61

Answer 3

NaAiAwAn

Airway complications + PS61 CICO

Big - aspiration / CICO

CICO - 1/10k-50k

Look out:
Obesity
H&N
PACU - stridor
ED - Fail intub ED
ICU - Displ trachie

KN

PS61

BMV - call for help
LMA/SGA - 2x - prepare FONA
ETT - 3x - declare CICO
SaO2 <90%
CICO!

Question 4

NAP5

Answer 4

Awareness

LSCS - 1:670
Cardiac - 1:8600
Thoracic
Neuro

Question 5

NAP6

Answer 5

Ana

1:10K (prob higher)
Mortality: 4% - 4/100

Triggers
Abx > relax > chlorhex > dye (blue)
50% 33% 10% 5%

CF: hypo > bronchospasm > tachy > hypox > brady > no capno

Rash / hypot / bronchos > arrest (brady PEA)

CPR if sBP<50

Treat: O2 + fluid + adrenaline

Question 6

All NAPS incidence

Answer 6

NAP3
- perm ND - 1/25-50k
- paralysis - 1/50-100k

(25/50/100)

NAP4
CICO - 1/10k-50k

NAP 5
Awareness

NAP6
Ana 1/10k