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Title: Perioperative anaesthetic adverse events in Thailand (PAAd THAI) study: Incident report of perioperative convulsion
Authors: Jatuporn Eiamcharoenwit
Phuping Akavipat
Thidarat Ariyanuchitkul
Nichawan Wirachpisit
Aksorn Pulnitiporn
Orawan Pongraweewan
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Maharaj Nakhon Ratchasima Hospital
Khon Kaen Regional Hospital
Faculty of Medicine, Siriraj Hospital, Mahidol University
Prasat Neurological Institute
Keywords: Medicine
Issue Date: 1-Jun-2018
Citation: Journal of Perioperative Practice. Vol.28, No.6 (2018), 152-158
Abstract: © The Author(s) 2018. The aim of this study was to identify the characteristics of perioperative convulsion and to suggest possible correcting strategies. The multi-centre study was conducted prospectively in 22 hospitals across Thailand in 2015. The occurrences of perioperative adverse events were collected. The data was collated by site manager and forwarded to the data management unit. All perioperative convulsion incidences were enrolled and analysed. The consensus was documented for the relevant factors and the corrective strategies. Descriptive statistics were used. From 2,000 incident reports, perioperative convulsions were found in 16 patients. Six episodes (37.5%) were related to anaesthesia, 31.3% to patients, 18.8% to surgery, and 12.5% to systemic processes. The contributing factor was an inexperienced anaesthesia performer (25%), while the corrective strategy was improvements to supervision (43.8%). Incidents of perioperative convulsion were found to be higher than during the last decade. The initiation and maintenance of safe anaesthesia should be continued.
ISSN: 17504589
Appears in Collections:Scopus 2018

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