Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/15420
ชื่อเรื่อง: The thai anesthesia incident monitoring study (thai AIMS): An analysis of 21 awareness events
ผู้แต่ง: Akavipat P.
Sookplung P.
Premsamran P.
Toomtong P.
Kusumaphanyo C.
Muansaiyart P.
Keywords: adult
anesthesist
anxiety
article
awareness
clinical article
computer program
data analysis
data base
descriptive research
emotional stress
female
general anesthesia
hearing
hospital discharge
human
intraoperative period
intubation
maintenance therapy
male
medical record review
nociception
outcome assessment
panic
paralysis
patient monitoring
perioperative period
posttraumatic stress disorder
premedication
recall
sex difference
sex ratio
sound detection
Thailand
Adverse Drug Reaction Reporting Systems
Anesthesia
Anesthesia, General
Anesthetics
Awareness
Female
Hospitals
Humans
Incidence
Intraoperative Period
Male
Mental Recall
Monitoring, Intraoperative
Outcome and Process Assessment (Health Care)
Prospective Studies
Risk Factors
Thailand
วันที่เผยแพร่: 2009
บทคัดย่อ: Objective: To demonstrate the characteristics, outcomes, and the circumstances associated with intraoperative recall of awareness Material and Method: Relevant data of intra-operative recall of awareness were extracted from the Thai Anesthesia Incident Monitoring study (Thai AIMS) database of 1996 incident reports and 2537 incidents which were conducted among 51 hospitals throughout Thailand from January to June, 2007. Details regarding patients, surgical, anesthetic and systematic factors were recorded in a structured data record form. The completed record forms were reviewed independently by three anesthesiologists. The descriptive statistic was analyzed by using SPSS sof tware version 11.5 and demonstrated in number and percent. Results: Twenty-one incidents (21/1996 = 1.05%) of intra-operative recall of awareness were reported. Awareness was predominantly found in females (76.2%) and with ASA physical status I (47.6%). Most of the patients recalled events during the maintenance period and reported sound (71.4%), pain (52.4%), feeling operated (38.1%), paralysis (33.3%), recognizing intubated (4.8%) and panic (4.8%). Anxiety (33.3%), temporary emotional stress (19%), and post traumatic stress (4.8%) were found during immediate outcome assessment but scarcely sustained on the hospital discharged date. The factors associated with the incidents were anesthetic related in the majority especially ineffective monitoring (100%), pre-medication abandonment (100%) and light anesthesia (71.5%). Conclusion: Intra-operative recall of awareness in the Thai AIMS was 1.05% of all incident reports. Most of the events were considered as anesthesia related. The suggested corrective strategies were quality assurance activity, effective monitoring and equipment maintenance.
URI: https://ir.swu.ac.th/jspui/handle/123456789/15420
https://www.scopus.com/inward/record.uri?eid=2-s2.0-63449110348&partnerID=40&md5=09792bb34dd2e35a8efbe9e06443bd83
ISSN: 1252208
Appears in Collections:Scopus 1983-2021

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