Unplanned intubation during anesthesia: Review of 31 cases from the Thai Anesthesia Incidents Study (THAI Study)
Objectives: To examine the causes, outcomes, and contributing factors associated with patients requiring unplanned emergency intubation for adverse respiratory events. Meterial and Method: Appropriate unplanned intubation incidents were extracted from the Thai Anesthesia Incidents Study (THAI Study)...
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th-mahidol.238342018-08-20T14:20:32Z Unplanned intubation during anesthesia: Review of 31 cases from the Thai Anesthesia Incidents Study (THAI Study) Waraporn Chau-In Thitima Chinachoti Yodying Punjasawadi Sireeluck Klanarong Kanok Taratarnkoolwatana Khon Kaen University Mahidol University Chiang Mai University Buddhachinaraj Hospital Rajavithi Hospital Medicine Objectives: To examine the causes, outcomes, and contributing factors associated with patients requiring unplanned emergency intubation for adverse respiratory events. Meterial and Method: Appropriate unplanned intubation incidents 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: Thirty-one incidents of unplanned intubation were recorded, 21 of which were due to respiratory problems particularly after bronchoscopy with and without surgery of the upper airway. Six of the 21 cases (28.6%) were children under 10 years of age who suffered from papilloma of the larynx. Sixteen cases of the 31 cases (52%) of the unplanned intubations were due to inadequate ventilation; 13 cases (41%) due to laryngeal edema; 11 cases (36%) due to sedative agents. The other events were the result of unstable hemodynamics, severe metabolic acidosis, muscle relaxants, and intrapulmonary lesions. Eighteen cases of unplanned intubations (18/31) (58%) occurred in the Post-Anesthesia Care Unit, 5 cases (16%) in a ward, and 4 (13%) in the operating room. The reported contributing factors included inadequate experience, lack of supervision and the patient's condition. Conclusion: Major incidents of unplanned intubation occurred after bronchoscopy. Common contributing factors related to inadequate ventilation, airway obstruction, sedative agents and unstable hemodynamics. Quality assurance, additional training, and improved supervision tended to minimize the incidents. 2018-08-20T07:20:32Z 2018-08-20T07:20:32Z 2006-02-01 Article Journal of the Medical Association of Thailand. Vol.89, No.2 (2006), 224-230 01252208 01252208 2-s2.0-33646001099 https://repository.li.mahidol.ac.th/handle/123456789/23834 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=33646001099&origin=inward |
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Medicine Waraporn Chau-In Thitima Chinachoti Yodying Punjasawadi Sireeluck Klanarong Kanok Taratarnkoolwatana Unplanned intubation during anesthesia: Review of 31 cases from the Thai Anesthesia Incidents Study (THAI Study) |
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Objectives: To examine the causes, outcomes, and contributing factors associated with patients requiring unplanned emergency intubation for adverse respiratory events. Meterial and Method: Appropriate unplanned intubation incidents 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: Thirty-one incidents of unplanned intubation were recorded, 21 of which were due to respiratory problems particularly after bronchoscopy with and without surgery of the upper airway. Six of the 21 cases (28.6%) were children under 10 years of age who suffered from papilloma of the larynx. Sixteen cases of the 31 cases (52%) of the unplanned intubations were due to inadequate ventilation; 13 cases (41%) due to laryngeal edema; 11 cases (36%) due to sedative agents. The other events were the result of unstable hemodynamics, severe metabolic acidosis, muscle relaxants, and intrapulmonary lesions. Eighteen cases of unplanned intubations (18/31) (58%) occurred in the Post-Anesthesia Care Unit, 5 cases (16%) in a ward, and 4 (13%) in the operating room. The reported contributing factors included inadequate experience, lack of supervision and the patient's condition. Conclusion: Major incidents of unplanned intubation occurred after bronchoscopy. Common contributing factors related to inadequate ventilation, airway obstruction, sedative agents and unstable hemodynamics. Quality assurance, additional training, and improved supervision tended to minimize the incidents. |
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Khon Kaen University |
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Khon Kaen University Waraporn Chau-In Thitima Chinachoti Yodying Punjasawadi Sireeluck Klanarong Kanok Taratarnkoolwatana |
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Article |
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Waraporn Chau-In Thitima Chinachoti Yodying Punjasawadi Sireeluck Klanarong Kanok Taratarnkoolwatana |
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Waraporn Chau-In |
title |
Unplanned intubation during anesthesia: Review of 31 cases from the Thai Anesthesia Incidents Study (THAI Study) |
title_short |
Unplanned intubation during anesthesia: Review of 31 cases from the Thai Anesthesia Incidents Study (THAI Study) |
title_full |
Unplanned intubation during anesthesia: Review of 31 cases from the Thai Anesthesia Incidents Study (THAI Study) |
title_fullStr |
Unplanned intubation during anesthesia: Review of 31 cases from the Thai Anesthesia Incidents Study (THAI Study) |
title_full_unstemmed |
Unplanned intubation during anesthesia: Review of 31 cases from the Thai Anesthesia Incidents Study (THAI Study) |
title_sort |
unplanned intubation during anesthesia: review of 31 cases from the thai anesthesia incidents study (thai study) |
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2018 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/23834 |
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1763493231151022080 |