NAP6 Resources

Anaesthesia, Surgery and Life-Threatening Allergic Reactions

The NAP6 Review Panel has produced a range of resources to aid departments in preparation for the management of perioperative anaphylaxis.

These resources include:

  • Suggested contents for Anaesthetic anaphylaxis treatment and investigation packs
  • Anaphylaxis management algorithms
  • Instructions on mast cell tryptase sampling
  • Roles and responsibilities of departmental leads for anaphylaxis
  • Template letters to be sent to patients and GPs following perioperative anaphylaxis
  • NAP6 Infographic highlighting key findings of the project.

The NAP6 Steering Panel would like to acknowledge previous work on anaphylaxis packs published in the RCoA Bulletin: Savic L et al. Anaphylaxis follow up - making it simple, making it better. RCoA Bulletin 2014;87:33-34.

These tools are also available as appendices to Chapter 11 and Chapter 14 of the NAP6 Report.


Podcast

Prof Tim Cook interviewed on NAP6 by Top Med Talks.


NAP6 Tools

Anaesthetic anaphylaxis treatment pack
 NAP6 Chapter 11 - Appendix A - anaesthetic anaphylaxis treatment packs.pdf (800 KB)
 NAP6 Chapter 11 - Appendix A - anaesthetic anaphylaxis treatment pack.docx (15 KB)

Anaesthetic anaphylaxis investigation pack
 NAP6 Chapter 11 - Appendix B - anaesthetic anaphylaxis investigation packs.pdf (1.79 MB)
 NAP6 Chapter 11 - Appendix B - anaesthetic anaphylaxis investigation pack.docx (36 KB)

The anaesthetic anaphylaxis investigation pack is made up of:

Management plan for urgent anaesthesia and surgery
 NAP6 Chapter 11 - Appendix C - management plan for urgent anaesthesia and surgery.pdf (37 KB)
 NAP6 Chapter 11 - Appendix C - management plan for urgent anaesthesia and surgery.docx (18 KB)

Departmental lead for perioperative anaphylaxis: roles and responsibilities
 NAP6 Chapter 11 - Appendix D - departmental lead for perioperative anaphylaxis; roles and responsibilities.pdf (843 KB)
 NAP6 Chapter 11 - Appendix D - departmental lead for perioperative anaphylaxis; roles and responsibilities.docx (15 KB)

Allergy clinic report for anaesthetists
 NAP6 Chapter 14 - Appendix A - allergy clinic report for anaesthetist.pdf (21 KB)
 NAP6 Chapter 14 - Appendix A - allergy clinic report for anaesthetist.docx (14 KB)

Letter to the patient following allergy clinic visit for the investigation of perioperative anaphylaxis
 NAP6 Chapter 14 - Appendix B - letter to the patient following allergy clinic visit for investigation of perioperative anaphylaxis.pdf (30 KB)
 NAP6 Chapter 14 - Appendix B - letter to the patient following allergy clinic visit for investigation of perioperative anaphylaxis.docx (13 KB)

NAP6 Infographic
 NAP6 Infographic.pdf (718 KB)


NAP6 Publications

We thank the Editors in Chief, the journals and the publishers for allowing us to use the data from several papers as the basis for several chapters in this report. We encourage citation of the journal articles as shown below.

  • NAP6 baseline survey: UK anaesthetists' perspectives and experiences of severe perioperative anaphylaxis. Kemp HI, Thomas M, Cook TM, Harper NJN. Br J Anaesth 2017; 119: 132-9 (Chapter 7). click here to view the article

  • Specialist Peri-Operative Allergy Clinic Services in the UK 2016: Results from the Royal College of Anaesthetists 6th National Audit Project. Egner W, Cook TM, Harper NJN et al. Clin Exp Allergy 2017; 47: 1318-30 (Chapter 13). click here to view the article

  • Anaesthesia, surgery, and life-threatening allergic reactions: protocol and methods of the 6th National Audit Project (NAP6) of the Royal College of Anaesthetists. Cook TM, Harper NJN, Farmer L et al. Br J Anaesth in press 2018. DOI: 10.1016/j.bja.2018.04.001 (Chapter 5). click here to view the article

  • 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. Kemp H, Marinho S, Cook TM et al. Br J Anaesth in press 2018. DOI:10.1016/j.bja.2018.04.010 (Chapter 8). click here to view the article

  • A cross sectional study of Perioperative drug and allergen exposure in United Kingdom practice in 2016: the 6th National Audit Project (NAP6) Allergen Survey. Marinho S, Kemp H, Cook TM et al. Br J Anaesth in press 2018. DOI: 10.1016/j.bja.2018.04.016 (Chapter 9). click here to view the article

  • Anaesthesia, surgery and life threatening allergic reactions: Epidemiology and clinical features of perioperative anaphylaxis in the 6th National Audit Project (NAP6). Harper NJN, Cook TM, Garcez T et al. Br J Anaesth in press 2018. DOI: 10.1016/j.bja.2018.04.014 (Chapter 6 part A). click here to view the article

  • Anaesthesia, Surgery and Life-Threatening Allergic Reactions: Management and outcomes in the 6th National Audit Project (NAP6). Harper NJN, Cook TM, Garcez T et al. Br J Anaesth in press 2018. DOI: 10.1016/j.bja.2018.04.015 (Chapter 6 part B). click here to view the article

  • Specialist perioperative allergy clinic services in the UK 2018: Results from the Royal College of Anaesthetists 6th National Audit Project (NAP6) Investigation of Perioperative Anaphylaxis. Egner W, Cook TM, Harper NJN et al. Clin Exp Allergy 2018, submitted and under consideration at time of publication (Chapter 14). click here to view the article