United Kingdom: Recent Advances in the Safety and Prevention of Regional Anesthesia Complications

  • Graeme A. McLeod

Key Points

  • The National Institute of Academic Anesthesia’s Health Services Research Centre (HSRC) was formed in 2011 and coordinates national audit, quality improvement and research activity investigating the influence of perioperative care, anesthesia, and critical care on patient morbidity and safety. The National Patient Safety Alerting System alerts health personnel of drug- or device-related risks.

  • Complications that are the focus of UK regional anesthesia include inadvertent intravenous injection of local anesthetic, wrong site blocks, efficacy and side effects of central neuraxial blocks, and regional anesthesia for hip fracture surgery.

  • In 2014, the HSRC conducted a national survey of 260 UK hospitals in order to provide a national benchmark for patient satisfaction and patient-reported awareness after anesthesia against which hospitals could measure their own performance.


Anesthesia Regional Morbidity Local anesthetic Audit Quality improvement Epidural Thoracic 



Association of Anaesthetists of Great Britain and Ireland


Anaesthesia Sprint Audit of Practice


Central Neuraxial Block


Combined Spinal–Epidural


Health Services Research Centre


National Audit Project


National Patient Safety Alerting System


National Health Service


National Institute of Academic Anesthesia


National Patient Safety Agency


National Reporting and Learning System


Royal College of Anaesthetists


Safe Anaesthesia Liaison Group


Sprint National Anesthesia Project


United Kingdom


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Division of Neuroscience, Institute of Academic AnaesthesiaMedical Research Institute, Ninewells Hospital & University of Dundee School of MedicineDundeeUK

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