Journal Article

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

Cook TM; Andrade J; Bogod DG; Hitchman JM; Jonker WR; Lucas N; Mackay JH; Nimmo AF; O'Connor K; O'Sullivan EP; Paul RG; Palmer JHM; Plaat F; Radcliffe JJ; Sury MRJ; Torevell HE; Wang M; Hainsworth J; Pandit JJ; Royal College of Anaesthetists; RCOA; Association of Anaesthetists of Great Britain and Ireland; AAGBI.

Reviewing data reported from every public hospital in the United Kingdom and Ireland regarding accidental patient awareness during anesthesia, this study revealed that distress and longer-term harm were prevalent in such incidents despite their short time duration (most lasted less than 5 minutes). The majority of cases were found to be preventable, emphasizing the need to avoid these events.