Publication: The perioperative and anesthetic adverse events in Thailand (PAAD Thai) study: Peripheral neurological deficit in 2,000 incident reports
0
0
Issued Date
2019
Resource Type
File Type
application/pdf
ISSN
1252208
Other identifier(s)
2-s2.0-85062985043
Rights Holder(s)
Scopus
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol 102, No.2 (2019), p.164-170
Suggested Citation
Vorapaluk P., Burimsittichai R., Ittichaikulthol W., Tangwiwat S., Lorsomradee S., Wongswadiwat M., Benjhawaleemas P., Sriramats D., Janngam J., Kaewprasit P. The perioperative and anesthetic adverse events in Thailand (PAAD Thai) study: Peripheral neurological deficit in 2,000 incident reports. Journal of the Medical Association of Thailand. Vol 102, No.2 (2019), p.164-170. Retrieved from: https://hdl.handle.net/20.500.14740/5477
Abstract
Background: Perioperative peripheral neurological deficit is an uncommon but debilitating complication after surgery. Despite the awareness of the injury after surgery, there are still some neurological deficit events that occurs. Objective: To investigate the contributing factors and preventive strategies of peripheral neurological deficit incidents. Materials and Methods: The authors conducted the prospective, multi-centered, observational study as part of the Perioperative and Anesthetic Adverse Events Study in Thailand (PAAd Thai) among 22 hospitals from all regions across Thailand. The critical incident reports during a 12-month-period, between January 1 and December 31, 2015, were reviewed and analyzed by three senior anesthesiologists to identify possible contributing factors and potential corrective strategies. The data were reported using descriptive statistics. Results: Among the first 2,000 critical incidents that occurred in 2015, there were 19 perioperative peripheral nerve neurological deficits reported under both general and regional anesthesia. The most common reported events were lumbosacral injury (42.1%) and brachial plexus (31.6%). Reported incidents were related to surgery (26.3%), anesthesia (36.8%), and malpositioning (36.9%). The major contributing factor was inexperience, while suggested corrective strategies included having vigilance and experience by providing quality assurance activity and additional training. Conclusion: Perioperative peripheral neurological deficit after anesthesia might be related to surgery, anesthesia (both general anesthesia and regional anesthesia), or position during operation. Having more vigilance and experience, including training, for anesthesia providers may prevent this catastrophic complication. © Journal of the medical association of Thailand.
Subject(s)
Adolescent
Adult
Aged
Anesthesia complication
Article
Autonomic dysfunction
Brachial plexus anesthesia
Brachial plexus injury
Clinical article
Dyspnea
Fatty acid desaturation
Female
General anesthesia
Human
Incident report
Lithotomy
Liver resection
Lumbosacral nerve injury
Muscle strength
Nerve injury
Observational study
Obturator nerve injury
Patient safety
Peripheral neuropathy
Peroneus nerve paralysis
Peroperative complication
Phrenic nerve paralysis
Prospective study
Pudendal nerve injury
Quality control
Regional anesthesia
Skin sensation
Spinal anesthesia
Thymectomy
Vocal cord paralysis
Alertness
Anesthesiologist
Brachial plexus
Cesarean section
Clinical outcome
Epidural anesthesia
Incident report
Lumbosacral spine
Major clinical study
Male
Middle aged
Nerve injury
Neurologic disease
Obturator nerve
Peripheral nerve injury
Peroperative complication
Phrenic nerve
Pudendal nerve
Risk factor
Roux-en-Y gastric bypass
Whiplash injury
Adult
Aged
Anesthesia complication
Article
Autonomic dysfunction
Brachial plexus anesthesia
Brachial plexus injury
Clinical article
Dyspnea
Fatty acid desaturation
Female
General anesthesia
Human
Incident report
Lithotomy
Liver resection
Lumbosacral nerve injury
Muscle strength
Nerve injury
Observational study
Obturator nerve injury
Patient safety
Peripheral neuropathy
Peroneus nerve paralysis
Peroperative complication
Phrenic nerve paralysis
Prospective study
Pudendal nerve injury
Quality control
Regional anesthesia
Skin sensation
Spinal anesthesia
Thymectomy
Vocal cord paralysis
Alertness
Anesthesiologist
Brachial plexus
Cesarean section
Clinical outcome
Epidural anesthesia
Incident report
Lumbosacral spine
Major clinical study
Male
Middle aged
Nerve injury
Neurologic disease
Obturator nerve
Peripheral nerve injury
Peroperative complication
Phrenic nerve
Pudendal nerve
Risk factor
Roux-en-Y gastric bypass
Whiplash injury