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Title: Perioperative myocardial ischemia/infarction: Study of incidents from Thai Anesthesia Incidence Study (THAI Study) of 163,403 cases
Authors: Oraluxna Rodanant
Thitima Chinachoti
Thewarug Veerawatakanon
Rasanee Charoenkul
Wanna Somboonviboon
Neerada Kojittavanit
Chulalongkorn University
Mahidol University
Trang Hospital
Ban Pong Hospital
Keywords: Medicine
Issue Date: 1-Jul-2005
Citation: Journal of the Medical Association of Thailand. Vol.88, No.SUPPL. 7 (2005)
Abstract: Objectives: To analyze incidence, risk factors, clinical course, outcomes of PMI. Degree of anesthesia related to PMI, management, precipitating factors and corrective strategies. Material and Method: PMI cases were extracted from the Thai Anesthesia Incidents Study (THAI Study) database conducted between February 1,2003 and January 31,2004, and analyzed using descriptive statistics. Results: Forty-five cases were recorded as PMI (Suspected myocardial ischemia/infarction) from 20 hospital study centers. The incidence was 2.7:10,000 of all anesthetic services (163,403 cases). PMI occurred more frequently in male, underlying disease of hypertension, diabetes mellitus, ischemic heart disease, ASA class >2, under general anesthesia and during operation. EKG change and hypotension were primary clinical symptoms. PMI caused high mortality (5 cases), high morbidity (6 cases of brain death), high medical cost and change of management plan. Conclusion: PMI was strongly impact to both anesthetic and surgical outcomes. Improve quality of anesthetic care for patient at risk and surgical risk reflected the whole anesthetic quality of care.
ISSN: 01252208
Appears in Collections:Scopus 2001-2005

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