Anaesthesia, surgery, and life-threatening allergic reactions: protocol and methods of the 6th National Audit Project (NAP6) of the Royal College of Anaesthetists

British Journal of Anaesthesia

Volumn 121, Issue 1, 2018, Pages 124-133

  Cook, T M ^a,b,c   Harper, N J N ^c,d,e   Farmer, L ^c   Garcez, T ^d   Floss, K ^f   Marinho, S ^d   Torevell, H ^t   Warner, A ^g   McGuire, N ^h   Ferguson, K ⁱ   Hitchman, J ^c   Egner, W ^j   Kemp, H ^k   Thomas, M ^l   Lucas, D N ^m   Nasser, S ⁿ   Karanam, S ^o   Kong, K L ^o   Farooque, S ^p   Bellamy, M ^q   McGlennan, A ^r   Moonesinghe, S R ^s   more..

^a ROYAL UNITED HOSPITAL   (United Kingdom)

^b UNIVERSITY OF BRISTOL   (United Kingdom)

^c ROYAL COLLEGE OF ANAESTHETISTS   (United Kingdom)

^d MANCHESTER UNIVERSITY NHS FOUNDATION TRUST   (United Kingdom)

^e UNIVERSITY OF MANCHESTER   (United Kingdom)

^f OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^g Allergy UK (Allergy UK)   (United Kingdom)

^h MEDICINES AND HEALTHCARE PRODUCTS REGULATORY AGENCY   (United Kingdom)

ⁱ ABERDEEN ROYAL INFIRMARY   (United Kingdom)

^j UNIVERSITY OF SHEFFIELD   (United Kingdom)

^k IMPERIAL COLLEGE LONDON   (United Kingdom)

^l GREAT ORMOND STREET HOSPITAL   (United Kingdom)

^m NORTHWICK PARK HOSPITAL   (United Kingdom)

ⁿ CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^o SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST   (United Kingdom)

^p IMPERIAL COLLEGE HEALTHCARE NHS TRUST   (United Kingdom)

^q UNIVERSITY OF LEEDS   (United Kingdom)

^r ROYAL FREE LONDON NHS FOUNDATION TRUST   (United Kingdom)

^s UNIVERSITY COLLEGE HOSPITAL   (United Kingdom)

^t University College Hospital London NHS Trust ^*

more..

Author keywords

allergy; anaesthesia; anaphylaxis; National Audit Project

Indexed keywords

ALLERGEN; ATRACURIUM BESILATE; BETA LACTAM ANTIBIOTIC; CHLORHEXIDINE; LATEX; ROCURONIUM; SUXAMETHONIUM; ANESTHETIC AGENT;

ANAPHYLAXIS; ANESTHESIA; ANESTHESIST; ARTICLE; CLINICAL AUDIT; CLINICAL PROTOCOL; DRUG HYPERSENSITIVITY; ENVIRONMENTAL EXPOSURE; HEALTH SURVEY; HUMAN; IMMUNOLOGIST; INCIDENCE; INTENSIVIST; MEDICAL SOCIETY; PERIOPERATIVE PERIOD; PRACTICE GUIDELINE; PRIORITY JOURNAL; RISK FACTOR; SURGERY; UNITED KINGDOM; WORKLOAD; METHODOLOGY; PROCEDURES; QUESTIONNAIRE; REGISTER;

ANAPHYLAXIS; ANESTHESIA; ANESTHETICS; DRUG HYPERSENSITIVITY; HUMANS; INCIDENCE; MEDICAL AUDIT; PERIOPERATIVE PERIOD; REGISTRIES; RESEARCH DESIGN; SURVEYS AND QUESTIONNAIRES; UNITED KINGDOM;

EID: 85047102649     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1016/j.bja.2018.04.001     Document Type: Article

References (45)

1. Garvey, L.H., Practical aspects of perioperative anaphylaxis. Trends Anaesth Crit Care 3 (2013), 320–326.
2. Cook, T.M., Counsell, D., Wildsmith, J.A., Royal College of anaesthetists Third national audit project. Major complications of central neuraxial block: report on the Third national audit project of the Royal College of Anaesthetists. Br J Anaesth 102 (2009), 179–190.
3. Cook, T.M., 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 106 (2011), 617–631.
4. Cook, T.M., Woodall, N., Harper, J., Benger, J., Major complications of airway management in the UK: results of the 4th national audit project of the Royal College of Anaesthetists and the difficult airway society. Part 2 intensive care and emergency department. Br J Anaesth 106 (2011), 632–642.
5. Pandit, J.J., Andrade, J., Bogod, D.G., et al. National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. Br J Anaesth 113 (2014), 540–548.
6. Pandit, J.J., Andrade, J., Bogod, D.G., et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors. Br J Anaesth 113 (2014), 549–559.
7. Cook, T.M., Andrade, J., Bogod, D.G., et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent, and medicolegal issues. Br J Anaesth 113 (2014), 560–574.
8. Sury, M.R., Palmer, J.H., Cook, T.M., Pandit, J.J., The state of UK anaesthesia: a survey of National Health Service activity in 2013. Br J Anaesth 113 (2014), 575–584.
9. Kemp, H., Thomas, M., Cook, T.M., Harper, N.J., NAP6 baseline survey: UK anaesthetists’ perspectives and experiences of severe perioperative anaphylaxis. Br J Anaesth 119 (2017), 132–139.
10. The National Audit Projects. Available from http://www.nationalauditprojects.org.uk/National_Audit_Projects#pt [accessed 6 February 2018].
11. Cook, T.M., NAP6 anaphylaxis what and why?. Bull Royal Coll Anaesth 82 (2013), 42–43.
12. Egner, W., Cook, T.M., Harper, N.J., et al. Specialist peri-operative allergy clinic services in the UK 2016: results from the Royal College of Anaesthetists sixth national audit project. Clin Exp Allergy 47 (2017), 1318–1330.
13. Kemp, H., Marinho, S., Cook, T.M., et al. An observational national study of anaesthetic workload and seniority across the working week and weekend in the United Kingdom in 2016: The 6th National Audit Project (NAP6) Activity Survey. Br J Anaesth 121 (2018), 134–145.
14. Marinho, S., Kemp, H.I., Cook, T.M., et al. Use of anaesthetic drugs in United Kingdom practice. A cross sectional study of Perioperative drug and allergen exposure in United Kingdom practice in 2016: the 6th National Audit Project (NAP6) Allergen Survey. Br J Anaesth 121 (2018), 146–158.
15. Knight, M., UKOSS. Eclampsia in the United Kingdom 2005. Br J Obstet Gynaecol 114 (2007), 1072–1078.
16. Caplan, R.A., Posner, K.L., Cheney, F.W., Effect of outcome on physician judgements of appropriateness of care. JAMA 265 (1991), 1957–1960.
17. Henriksen, K., Kaplan, H., Hindsight bias: outcome knowledge and adaptive learning. Qual Saf Health Care 122:Suppl 2 (2003), 46–50.
18. Turner, M.E., Pratkanis, A.R., Twenty-five years of groupthink theory and research: lessons from the evaluation of a theory. Organ Behav Hum Decis Process 73 (1998), 105–115.
19. Harper, N.J., Dixon, T., Dugué, P., et al. Suspected anaphylactic reactions associated with anaesthesia. Anaesthesia 64 (2009), 199–211.
20. Emergency treatment of anaphylactic reactions, Guidelines for healthcare providers. Resuscitation council UK. 2016 Available from: https://www.resus.org.uk/anaphylaxis/emergency-treatment-of-anaphylactic-reactions/. (Accessed 6 February 2018)
21. Soar, J., Nolan, J.P., Böttiger, B.W., et al. European resuscitation council guidelines for resuscitation 2015: section 3. Adult advanced life support. Resuscitation 95 (2015), 100–147.
22. Ewan, P.W., Dugué, P., Mirakian, R., Dixon, T.A., Harper, J.N., Nasser, S.M., BSACI. BSACI guidelines for the investigation of suspected anaphylaxis during general anaesthesia. Clin Exp Allergy 40 (2010), 15–31.
23. NICE CG183 Drug allergy, Diagnosis and management. National Institute for Health and care excellence. 2014 ISBN: 978-1-4731-0715-1 https://www.nice.org.uk/guidance/cg183. (Accessed 6 February 2018)
24. Dworzynski, K., Ardern-Jones, M., Nasser, S., Diagnosis and management of drug allergy in adults, children and young people: summary of NICE guidance. BMJ, 349, 2014, 4852.
25. NICE CG134 Anaphylaxis, Assessment and referral after emergency treatment. 2011, National Institute for Health and Clinical Excellence https://www.nice.org.uk/guidance/cg134. (Accessed 6 February 2018)
26. National Patient Safety Agency, A risk matrix for risk managers. 2008, NPSA, London.
27. Valent, P., Akin, C., Arock, M., et al. Definitions, criteria and global classification of mast cell disorders with special reference to mast cell activation syndromes: a consensus proposal. Int Arch Allergy Immunol 157 (2012), 215–225.
28. Egner, W., Sargur, R., Shrimpton, A., York, M., Green, K.A., 17-year experience in perioperative anaphylaxis 1998-2015: harmonizing optimal detection of mast cell mediator release. Clin Exp Allergy 46 (2016), 1465–1473.
29. Mirakian, R., Ewan, P.W., Durham, S.R., et al. BSACI guidelines for the management of drug allergy. Clin Exp Allergy 39 (2009), 43–61.
30. Mirakian, R., Leech, S.C., Krishna, M.T., et al. Management of allergy to penicillins and other beta-lactams. Clin Exp Allergy 45 (2015), 300–327.
31. Harper, N.J.N., Cook, T.M., Garcez, T., et al. Anaesthesia, surgery, and life-threatening allergic reactions: epidemiology and clinical features of perioperative anaphylaxis in the 6th National Audit Project (NAP6). Br J Anaesth 121 (2018), 159–171.
32. Harper, N.J.N., Cook, T.M., Garcez, T., et al. Anaesthesia, surgery, and life-threatening allergic reactions: management and outcomes in the 6th National Audit Project (NAP6). Br J Anaesth 121 (2018), 172–188.
33. Egner, W., Cook, T.M., Harper, N.J.N., et al. Specialist perioperative allergy clinic services in the UK 2018: results from the Royal College of anaesthetists sixth national audit project (NAP6) investigation of perioperative anaphylaxis. Clin Exp Allergy, 2018 in press [update].
34. Johansson, S.G., Bieber, T., Dahl, R., et al. Revised nomenclature for allergy for global use: report of the nomenclature review committee of the world allergy organization. J Allergy Clin Immunol 113 (2003), 832–836.
35. Ring, J., Messmer, K., Incidence and severity of anaphylactoid reactions to colloid volume substitutes. Lancet 1 (1977), 466–469.
36. Garvey, L.H., Roed-Petersen, J., Menné, T., Husum, B., Danish anaesthesia allergy centre—preliminary results. Acta Anaesthesiol Scand 45 (2001), 1204–1209.
37. Mertes, P.M., Alla, F., Laxenaire, M.C., Anaphylactic and anaphylactoid reactions occurring during anesthesia in France in 1999–2000. Anesthesiology 99 (2003), 536–545.
38. Krøigaard, M., Garvey, L.H., Gillberg, L., et al. Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. Acta Anaesthesiol Scand 51 (2007), 655–670.
39. Sampson, H.A., Munoz-Furlong, A., Campbell, R.L., et al. Second symposium on the definition and management of anaphylaxis: summary report—second national Institute of allergy and infectious disease/food allergy and anaphylaxis network symposium. J Allergy Clin Immunol 117 (2006), 391–397.
40. Cox, L., Larenas-Linnemann, D., Lockey, R.F., Passalacqua, G., Speaking the same language: the world allergy organization subcutaneous immunotherapy systemic reaction grading system. J Allergy Clin Immunol 125 (2010), 569–574.
41. Rose, M.A., Green, S.L., Crilly, H.M., Kolawole, H., Perioperative anaphylaxis grading system: ‘making the grade’. Br J Anaesth 117 (2016), 551–553.
42. Deakin, C.D., Low, J.L., Accuracy of the ATLS guidelines for predicting systolic blood pressure using carotid, femoral ad radial pulses: observational study. BMJ 321 (2000), 673–745.
43. Baretto, R.L., Beck, S., Heslegrave, J., et al. Validation of international consensus equation for acute serum total tryptase in mast cell activation: a perioperative perspective. Allergy 72 (2017), 2031–2034.
44. Scolaro, R.J., Crilly, H.M., Maycock, E.J., et al. Australian and New Zealand anaesthetic allergy group perioperative anaphylaxis investigation guidelines. Anaesth Intensive Care 45 (2017), 543–555.
45. Mertes, P.M., Malinovsky, J.M., Jouffroy, L., et al. Reducing the risk of anaphylaxis during anesthesia: 2011 updated guidelines for clinical practice. J Investig Allergol Clin Immunol 21 (2011), 442–453.