Publication:
The thai anesthesia incident monitoring study (thai AIMS): An analysis of 21 awareness events

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Issued Date

2009

Resource Type

Article

File Type

application/pdf

ISSN

1252208

Other identifier(s)

2-s2.0-63449110348

Rights Holder(s)

Scopus

Bibliographic Citation

Journal of the Medical Association of Thailand. Vol 92, No.3 (2009), p.335-341

Suggested Citation

Akavipat P., Sookplung P., Premsamran P., Toomtong P., Kusumaphanyo C., Muansaiyart P. The thai anesthesia incident monitoring study (thai AIMS): An analysis of 21 awareness events. Journal of the Medical Association of Thailand. Vol 92, No.3 (2009), p.335-341. Retrieved from: https://hdl.handle.net/20.500.14740/7594

Title

The thai anesthesia incident monitoring study (thai AIMS): An analysis of 21 awareness events

Author(s)

Akavipat P.
 Sookplung P.
 Premsamran P.
 Toomtong P.
 Kusumaphanyo C.
 Muansaiyart P.

Abstract

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.

Subject(s)

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

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URI

https://hdl.handle.net/20.500.14740/7594

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Scopus: Year 1983-2021

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