Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Multicenter Study
The Thai Anesthesia Incidents Study (THAI Study) of perioperative death: analysis of risk factors.
National statistical data of mortality and morbidity related to anesthesia have not been reported. The need to comprehensively examine the cause of death as well as other adverse events prompted the first national study in Thailand. ⋯ This study shows incidence of 24-hr perioperative death of 1:354 which is comparable with other studies. Quality assurance activity, prevention of human failure and equipment failure, system improvement of perioperative care, availability of recovery room, intensive care unit, efficient blood bank and adequate number of MD. anesthesiologists are suggestive corrective strategies.
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Multicenter Study
The Thai Anesthesia Incidents Study (THAI Study) of perioperative allergic reactions.
To determine the incidence, risk factors, signs, symptoms and management of perioperative allergic reactions in the Thai Anesthesia Incidents Study (THAI Study). ⋯ The incidence of perioperative allergic reactions was 1 in 5,500 cases of anesthesia. History of allergies was obtained from half of the patients and the most common sign was a skin reaction. The drugs most suspected of causing an allergic reaction were antibiotics. All of the patients responded well to rescue treatment.
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Multicenter Study
The Thai Anesthesia Incidents Study (THAI Study) of difficult intubation: a qualitative analysis.
To examine the causes, outcomes and contributing factors including suggested corrective strategies associated with difficult intubation. ⋯ The majority of difficult intubation could be predicted. Proper preoperative evaluation and equipment preparation, appropriate technique including experienced anesthesia personnel could attenuate the morbidity and mortality.
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Multicenter Study
An analysis of the drug error problem in the Thai Anesthesia Incidents Study (THAI Study).
To analyze the problem of drug error related to anesthesia in Thailand including nature, contributing factors and preventive strategies. ⋯ The incidence of drug error in our study was 1 : 4,943. It can cause morbidity and mortality during anesthesia. Practitioners should be aware of these potential incidents and strictly follow the guideline for drug administration.
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Multicenter Study
An analysis of intraoperative recall of awareness in Thai Anesthesia Incidents Study (THAI Study).
This study aimed to analyze intraoperative awareness using database of Thai Anesthesia Incidents Study (THAI Study) with regard to frequency, contributing factors, preventive and corrective strategies. ⋯ The incidence of intraoperative recall of awareness in this study was 0.08%. Patients reported sound, pain, feeling operated without pain, and paralysis. Corrective strategies included guideline practice, additional training, quality assurance activity, and improved supervision.