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Editorial
. 2025 Dec;135(6):1598-1602.
doi: 10.1016/j.bja.2025.09.006. Epub 2025 Oct 8.

Getting nervous: the origins and evolution of NAP8

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Editorial

Getting nervous: the origins and evolution of NAP8

Alan J R Macfarlane et al. Br J Anaesth. 2025 Dec.

Abstract

NAP8, the 8th National Audit Project to be undertaken by the Royal College of Anaesthetists, is due to launch in early 2026, focusing on major complications of regional anaesthesia (both central and peripheral blocks) and other perioperative peripheral nerve and spinal cord injuries not caused by direct surgical injury. UK national audit projects examine rare complications of anaesthesia. We outline why these topics need to be examined, how this will be done, potential challenges of the project, and how such challenges will be mitigated.

Keywords: epidural anaesthesia; nerve block; peripheral nerve injury; spinal anaesthesia; spinal cord injury.

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Conflict of interest statement

Declarations of interest AJRM has received honorarium from GE and consultancy fees from Intelligent Ultrasound and is the NAP8 Clinical Lead. TJQ has received a travel grant from Orthocell and is a shareholder in Orthohub. IKM is Chair, Centre for Research and Improvement, Royal College of Anaesthetists.

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