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 project team have developed a list of complications that will be studied during NAP8. Please see below for information on the Regional Anaesthesia-related complications. 

NAP8 General Anaesthesia Complications will be added here shortly.

Please see below for the NAP8 inclusion criteria.

NAP8 Infographic
NAP8 Inclusion Criteria
NAP8 Clinical Lead

 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.