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Title: The thai anesthesia incident monitoring study (thai AIMS): An analysis of 21 awareness events
Authors: Phuping Akavipat
Pimwan Sookplung
Pornthep Premsamran
Patiparn Toomtong
Chaiyapruk Kusumaphanyo
Patcharin Muansaiyart
Prasat Neurological Institute
Chulalongkorn University
Mahidol University
Srinakharinwirot University
Keywords: Medicine
Issue Date: 1-Mar-2009
Citation: Journal of the Medical Association of Thailand. Vol.92, No.3 (2009), 335-341
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.
ISSN: 01252208
Appears in Collections:Scopus 2006-2010

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