Articles: anesthesia.
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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
Postoperative reintubation after planned extubation in Thai Anesthesia Incidents Study (THAI Study).
To analyze precipitating causes, outcomes and corrective strategies especially anesthetic related factors associated with reintubation after planned extubation in anesthetic technique of general anesthesia with endotracheal intubation. ⋯ More than 90% of RAP occurred in operating theater and recovery room were completely or partially related to anesthetic process. Incidence of RAP could be decreased by quality assurance process of recording, reporting and modeling care process together with increase individual experience.
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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
The Thai Anesthesia Incidents Study (THAI Study) of pulmonary aspiration: a qualitative analysis.
To examine the risk factors, outcomes, and contributing factors associated with perioperative pulmonary aspiration. ⋯ Aspiration occurred commonly in patients with incomplete fasted or had prolonged gastric emptying time and underwent elective surgery. Additional training, continuing medical education and quality assurance tended to minimize the incidents.
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La Tunisie médicale · Nov 2005
Multicenter Study[Sedative practice in intensive care units results of a Maghrebian survey].
sedation is central to the management of intensive care patients. The aim of this study was to establish the current sedation practice in Maghrebian intensive care units (ICUs). The use of sedation policies with or without a written protocol, the use of scoring systems, the influence of costs on drug choice, the most common drugs for sedation and the use of neuromuscular blocking agents. ⋯ sedation may seem secondary in the initial management of intensive care patients, only 63% of our respondents had a sedation policy and 20% a written protocol though its use is thought to improve outcome and reduce costs. Economic aspect was important for the choice of the drug to use (64%), this may explain the preferential use of Midazolam 98% in association with an analgesic (Fentanyl: 85%) while Propofol is used only in 14% though pharmacoeconomic studies may be in fact in favor of the latter. Neuromuscular blocking agents are less frequently used (16%) mainly because of the risk of complications.