Publication: A study into perioperative anaesthetic adverse events in Thailand (PAAd THAI): An analysis of suspected emergence delirium
Issued Date
2018-12-01
Resource Type
ISSN
17504589
Other identifier(s)
2-s2.0-85060664134
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Perioperative Practice. Vol.28, No.12 (2018), 347-354
Suggested Citation
Tanyong Pipanmekaporn, Yodying Punjasawadwong, Manee Raksakietisak, Wimonrat Sriraj, Varinee Lekprasert, Thewarug Werawatganon A study into perioperative anaesthetic adverse events in Thailand (PAAd THAI): An analysis of suspected emergence delirium. Journal of Perioperative Practice. Vol.28, No.12 (2018), 347-354. doi:10.1177/1750458918780117 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/46162
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Title
A study into perioperative anaesthetic adverse events in Thailand (PAAd THAI): An analysis of suspected emergence delirium
Abstract
© The Author(s) 2018. The purpose of this study is to demonstrate the characteristics, contributing factors and recommended policy changes associated with emergence delirium. Relevant data were extracted from the PAAd Thai database of 2,006 incident reports which were conducted from 1 January to 31 December 2015. Details pertinent to the patient, surgery, anaesthetic and systematic factors were reviewed independently. Seventeen incidents of emergence delirium were recorded. Emergence delirium was common in the following categories: male (70.6%), over 65 years of age (53%), elective surgery (76%) and orthopedic surgery (35%). Physical restraint was required in 53% (9 of 17) of cases and 14 patients (82%) required medical treatment. One patient developed postoperative delirium and required medical treatment. The study led to the following recommendations: Development of a classification of practice guidelines and a screening tool, and training for restraint use.