Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/17314
ชื่อเรื่อง: Cardiac arrest and complications after spinal anesthesia: The perioperative and anesthetic adverse event in Thailand (PAAd Thai) incident report study
ผู้แต่ง: Sriramatr D.
Chongarunngamsang W.
Plansangkate P.
Laosuwan P.
Charuluxananan S.
Nimmaanrat S.
Pravitharangul T.
Angkasuvan W.
Keywords: ampicillin
antihistaminic agent
atracurium besilate
atropine
bupivacaine
cephalosporin
chlorpheniramine
clindamycin
cloxacillin
dexamethasone
ephedrine
gelatin succinate
hypertensive factor
infusion fluid
ketorolac
methacrylic acid methyl ester
midazolam
morphine
oxygen
penicillin derivative
pethidine
polygeline
suxamethonium
adolescent
adult
aged
American Society of Anaesthesiologists score
anaphylaxis
anesthesia complication
Article
blood pressure
bradycardia
central venous pressure
cerebrovascular accident
cesarean section
child
coma
convulsion
decision making
electrocardiography
female
general surgery
gynecologic surgery
heart arrest
heart muscle ischemia
human
immune system
incidence
lung embolism
major clinical study
male
mean arterial pressure
morphine
multicenter study
observational study
open reduction (procedure)
orthopedic surgery
oxygen desaturation
peripheral nerve injury
peroperative complication
pulmonary aspiration
rash
return of spontaneous circulation
spinal anesthesia
urologic surgery
very elderly
วันที่เผยแพร่: 2021
บทคัดย่อ: Background: Spinal anesthesia is one of most common anesthetic techniques in Thailand. The Perioperative and Anesthetic Adverse Events in Thailand (PAAd Thai) Study was a multicentered project among 22 hospitals across the country to investigate the incidence of anesthesia related complications. Objective: To study the incidences of cardiac arrest and complication after spinal anesthesia including the contributing factors and suggested corrective strategies. Materials and Methods: This prospective descriptive study of the incident reports that occurred regarding spinal anesthesia collected from 22 participating hospital in the data collection between January and December of 2015 was completed. Three senior anesthesiologists reviewed the data and descriptive statistics were used. Results: Among 62,120 spinal anesthesia, there were 127 incidents (5.8%) among 2,206 incident reports related to anesthesia. There were seven cases of intraoperative cardiac arrest with an incidence of 1.13:10,000 spinal anesthesia (95% CI 0.55 to 2.33). Other complications were bradycardia with less than 40 beats per minute (50.4%), anaphylaxis or anaphylactoid reaction or drug allergy (14.2%), drug error (8.4%), coma or CVA or convulsion (3.9%), and suspected pulmonary embolism (3.9%). Adverse events occurred frequently with specialties or surgeries of orthopedics (44.1%), cesarean delivery (17.3%), urosurgery (17.3%), general surgery (14.2%), and gynecological surgery (4.7%), respectively. Conclusion: Contributing factors were inexperience, inappropriate decision making, haste, and inappropriate pre-anesthetic evaluation or preparation while factors minimizing incidents were vigilance, having experience, and experienced assistants. Suggested corrective strategies were quality assurance activity, guidelines especially monitoring, improvement of supervision, and additional training. © Journal of the Medical Association of Thailand | 2021
URI: https://ir.swu.ac.th/jspui/handle/123456789/17314
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85104632366&doi=10.35755%2fjmedassocthai.2021.04.12401&partnerID=40&md5=798d28de61a43064a647307e894ddb52
ISSN: 1252208
Appears in Collections:Scopus 1983-2021

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