The Thai Anesthesia Incident Monitoring Study (Thai AIMS) of desaturation: An analysis of 1,996 incident reports

Journal of the Medical Association of Thailand

Volumn 91, Issue 9, 2008, Pages 1389-1396

  Suksompong, Sirilak ^a   Chatmongkolchat, Sunisa ^b   Hintong, Thanoo ^c   Klanarong, Sireeluck ^d   Cha in, Waraporn ^e   Virankabutra, Tanit ^f  

^a MAHIDOL UNIVERSITY   (Thailand)

^b PRINCE OF SONGKLA UNIVERSITY   (Thailand)

^c CHIANG MAI UNIVERSITY   (Thailand)

^d BUDDHACHINARAJ HOSPITAL   (Thailand)

^e KHON KAEN UNIVERSITY   (Thailand)

^f MAHIDOL UNIVERSITY   (Thailand)

Author keywords

Complications; Hypoxemia; Incident; Oxygen desaturation; Pulse oximeter

Indexed keywords

ANESTHETIC AGENT;

ADOLESCENT; ADULT; AGED; ANESTHESIA INDUCTION; ARTICLE; CHILD; CLINICAL PRACTICE; DATA BASE; DISEASE SEVERITY; FEMALE; GENERAL ANESTHESIA; HOSPITAL ADMISSION; HUMAN; HYPOXIA; MAJOR CLINICAL STUDY; MALE; MEDICAL EDUCATION; MORBIDITY; OUTCOME ASSESSMENT; PATIENT MONITORING; PRACTICE GUIDELINE; QUALITY CONTROL; REGIONAL ANESTHESIA; THAILAND;

ADOLESCENT; ADULT; ANESTHESIA, GENERAL; DATABASES AS TOPIC; FEMALE; HEALTH STATUS INDICATORS; HUMANS; INCIDENCE; INTENSIVE CARE UNITS; MALE; OXYGEN; OXYGEN CONSUMPTION; PROSPECTIVE STUDIES; QUALITY OF HEALTH CARE; RISK FACTORS; THAILAND; YOUNG ADULT;

EID: 52949134427     PISSN: 01252208     EISSN: 01252208     Source Type: Journal    
DOI: None     Document Type: Article

References (19)

1. Pedersen T, Dyrlund PB, Moller AM. Pulse oximetry for perioperative monitoring. Cochrane Database Syst Rev 2003; 3: CD002013.
2. Standards for basic anesthetic monitoring [homepage on the Internet]. Park Ridge, IL: American Society of Anesthesiologists; October 25, 2005 [cited 2008 Jul 16]. Available from: http://www.asahq.org/publicationsAndServices/ standards/02.pdf
3. Guidelines for the provision of anaesthetic services. [homepage on the Internet]. London: The Royal college of Anaesthetists; 2004 [cited 2008 Jul 16]. Available from: http://www.rcoa.ac.uk/docs/GPAS.pdf
4. Guidelines to the Practice of Anesthesia. Patient Monitoring [homepage on the Internet]. Toronto, ON: Canadian Anesthesiologists' Society; 2008 [cited 2008 Jul 16]. Available from: http://www.cas.ca/members/sign_in/guidelines/ practice_of_anesthesia/default.asp?load=patient_monitoring
5. Annas GJ. The patient's right to safety - improving the quality of care through litigation against hospitals. N Engl J Med 2006; 354: 2063-6.
6. Hallinan JT, Thyself H. Once seen as risky, one group of doctors changes its ways-anesthesiologists now offer model of how to improve safety, lower premiums-surgeons are following suit. Wall Street Journal 2005; June 21: A1.
7. Beckmann U, Bohringer C, Carless R, Gillies DM, Runciman WB, Wu AW, et al. Evaluation of two methods for quality improvement in intensive care: facilitated incident monitoring and retrospective medical chart review. Crit Care Med 2003; 31: 1006-11.
8. Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Anesthesiology 1984; 60: 34-42.
9. Runciman WB, Sellen A, Webb RK, Williamson JA, Currie M, Morgan C, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care 1993; 21: 506-19.
10. Charuluxananan S, Punjasawadwong Y, Suraseranivongse S, Srisawasdi S, Kyokong O, Chinachoti T, et al. The Thai Anesthesia Incidents Study (THAI Study) of anesthetic outcomes: II. Anesthetic profiles and adverse events. J Med Assoc Thai 2005; 88(Suppl 7): S14-29.
11. Maaloe R, la Cour M, Hansen A, Hansen EG, Hansen M, Spangsberg NL, et al. Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Acta Anaesthesiol Scand 2006; 50: 1005-13.
12. Punjasawadwong Y, Suraseranivongse S, Charuluxananan S, Jantorn P, Thienthong S, Chanchayanon T, et al. Multicentered study of model of anesthesia related adverse events in Thailand by incident report (the Thai Anesthesia Incident Monitoring Study): methodology. J Med Assoc Thai 2007; 90: 2529-37.
13. Raksakietisak M, Chinachoti T, Vudhikamraksa S, Svastdi-Xuto O, Surachetpong S. Perioperative desaturation: incidence, causes, management and outcome. J Med Assoc Thai 2002; 85(Suppl 3): S980-6.
14. Punjasawadwong Y, Chinachoti T, Charuluxananan S, Pulnitiporn A, Klanarong S, Chau-in W, et al. The Thai Anesthesia Incidents Study (THAI Study) of oxygen desaturation. J Med Assoc Thai 2005; 88(Suppl 7): S41-53.
15. Szekely SM, Runciman WB, Webb RK, Ludbrook GL. Crisis management during anaesthesia: desaturation. Qual Saf Health Care 2005; 14: e6.
16. Bunchungmongkol N, Somboonviboon W, Suraseranivongse S, Vasinanukorn M, Chau-in W, Hintong T. Pediatric anesthesia adverse events: the Thai Anesthesia Incidents Study (THAI Study) database of 25,098 cases. J Med Assoc Thai 2007; 90: 2072-9.
17. Guidelines to the Practice of Anesthesia Appendix III: Pre-anesthetic checklist [homepage on the Internet]. Toronto, ON: Canadian Anesthesiologists' Society; 2008 [cited 2008 Jul 16]. Available from: http://www.cas.ca/members/ sign_in/guidelines/practice_of_anesthesia/default.asp?load= appendix_iii
18. Charuluxananan S, Suraseranivongse S, Punjasawadwong Y, Somboonviboon W, Sriswasdi S, Pranootnarabhal T, et al. Risk factors of intraoperative oxygen desaturation: a case-control study of 152,314 anesthetics. J Med Assoc Thai 2007; 90: 2359-65.
19. McKay WP, Noble WH. Critical incidents detected by pulse oximetry during anaesthesia. Can J Anaesth 1988; 35: 265-9.