Incidences and Causes of Reintubation after Undergoing General Anesthesia at Songkhla Hospital
Keywords:
Reintubation, General Anesthesia, IncidenceAbstract
The aim of this retrospective study was to analyze the incidences and the risk factors correlated to reintubation after general anesthesia. The study was conducted between October 1, 2016, and September 30, 2019. The data, including sex, age, ASA Physical status (PS), time of incidence, type of operation, department of operation, place of incidence, duration of operation, and time of reintubation, were collected from 23,071 patients in anesthetic databases, anesthetic statistics, medical records and risk data in anesthesiology departments. Factors related to reintubation were analyzed by the researcher, a nurse anesthetist in risk management team, and anesthetists. Data were analyzed by using descriptive statistics.
Descriptive results showed an incidence of reintubation after general anesthesia of 20 cases in total. The percentage of reintubation was 0.086 or 8.6 per 10,000 patients who received general anesthesia with endotracheal tube. The main causes (55%) of factors that led to reintubation of patients were: 1) upper airway obstruction, 2) chronic obstructive pulmonary disease, 3) pulmonary edema, 4) sepsis, 5) seizures, 6) laryngospasm and acute myocardial infarction. The two main causes of factors associated with anesthesia that led to reintubation (35%) were residual effect of anesthetic agent, and respiratory depression from narcotics. Factors associated with surgery that led to reintubation (10%) were recurrent laryngeal nerve injury and surgical bleeding.
In conclusion, causes of reintubation after general anesthesia included three factors. The main causes were underlying diseases, anesthesia, and surgery. Those factors related to reintubation must be taken into account, so that reintubation incidence will be decreasing.
References
Bunchungmongkol, N., Pipanmekaporn, T., Punjaswadwong, Y. & Cenpakdee, S. (2009). Reintubation in the
postanesthesia care unit: A retrospective study of 21,349 cases at Chiang Mai University Hospital, Thailand.
Chiang Mai med Journal, 48(2), 49-55.
Charuluxananan, S., Punjasawadwong, Y., Pitimana-aree, S., Werawatganon, T., Lekprasert, V., Nimmaanrat, S., et al.
(2017). Multicentered study of anesthesia: related mortality and adverse events by incident reports in Thailand.
Health Systems Research Institute, Research Report. Retrieved December 1, 2019 from
http://www.hsri.or.th/research. (in Thai)
Chien, CL., Hsun, CS., Sheng HL, Cheng, YL. (2015). Postoperative Reintubation at Postanesthesia Care Unit from 2010
to 2011 at a Teaching Hospital in Taiwan. E-Da Med J., 2(38-42).
Chinachoti, T., Chau-in, W., Suraseranivongse, S., Kitsampanwong, W., & Kongrit, P. (2005). Postoperative
reintubation after planned extubation in Thai Anesthesia incident Study (THAI Study). J Med Assoc Thai, 88(7),
-94.
Cholitkul, S. (2012). A retrospective study The Incidence of Rrintubation after General Anesthesia at Chiangrai
Prachanukroh Hospital. Chiangrai Medical Journal, 4(1), 41-48.
Department of Anesthesioloy, Songkhla Hospital. (2020). Risk Management in Anesthesia (2017-2019). Songkhla.
(in Thai)
Duangngoen, P., Ittichaikulthol, W., Thamjamrassri, T., & Jiarpinitnun, J. (2016). Risk factor of reintubation in post
anesthetic care unit after general anesthesia in Ramathibodi Hospital. Thai journal of Anesthesiology, 42(1), 33-
Junkao, J. (2011). An Incidence Study of Risk Factors Related to Re-intubations in the Post-Anesthetic Care Unit,
Lampang Hospital. Boromarajonnani College of Nursing, Uttaradit Journal, 3(2), 12-18.
Kongsayreepong, S. (2002). Anatomy and Physiology in Neonatal and Pediatric. In Kongsayreepong, S. &
Suraseranivong, S. Anesthesia in Infancy and Childhood. (pp. 1-46). Bangkok: Ruenkaew Printing. (in Thai)
Luetrakool, P. (2015). Anesthesia in Thyroid. In Pulnitiporn, A., Raksakietisak, M., Charoenraj, P., & Ruananukun, N.
Anesthesiology. (pp. 365-374). The Royal College of Anesthesiologists of Thailand. (in Thai)
Pansamai, L. (2011). Reintubation during Anesthesia in Saraburi Hospital. KM Siriraj. Retrieved November 12, 2019
from: http://www1.si.mahidol. ac.th/km/sites/default/files/95.pdf. (in Thai)
Pinsornsak, B. (2008). Incidence, Causes and Complications of Reintubation after General Anesthesia in the Recovery
Room, Phranakhonsriayutthaya hospital. Region 4 medical journal, 10(6), 1091-1096.
Rajinda, K. (2007). The Incidence of Reintubation in OR and PACU Following General Anesthesia with Endotracheal
Intubation at Sappasittiprasong Hospital. Khon Kaen Medical Journal, 31(1), 73-78.
Raksakietisak, M. (2015). Anesthesia for The Elderly. In Pulnitiporn, A., Raksakietisak, M., Charoenraj, P., &
Ruananukun, N. Anesthesiology. (pp. 207-214). The Royal College of Anesthesiologists of Thailand. (in Thai)
Rodanant, O. (2015). Postanesthetic Care. In Pulnitiporn, A., Raksakietisak, M., Charoenraj, P., & Ruananukun, N.
Anesthesiology. (pp. 399-409). The Royal College of Anesthesiologists of Thailand. (in Thai)
Rujirojindakul, P., Geater, A.F., Mc Neil, E.B., Vasinanukorn, P., Prathep, S., Asim, W., et al. (2012). Risk factors for
reintubation in the post-anesthetic care unit: a case-control study. Br J Anaesth, 109(4), 636-642.
The Royal College of Anesthesiologists of Thailand. (2019). Guidance for Anesthesia Record Form Retrieved May 3,
from: http://anesthai.org/ public/rcat/Document. (in Thai)
Uppan, K., Jeerararuensak, W., Chau-In, W., Chairatana, L., Promkhote, p. (2011). Anesthesia Related to Reintubation
after Planned Extubation within 24 Hours after General Anesthesia in Srinagarind Hospital: Incidence and Risk
Factors. Srinagarind Med Journal, 26(4), 325-332.
Watcharotayangul, J., Virankabutra, T., Supathada, P., Prueksawisatesuk, W. (2020). Cuff leak test predicting upper
airway obstruction and reintubation after extubation. Medicine Facaulty Rhamatibodee. Retrieved June10, 2020
from: http://Rama.Mahidol.ac.th/anest/sites/default/files/public/pdf. (in Thai)
Downloads
Published
Versions
- 2022-12-23 (2)
- 2022-02-07 (1)
How to Cite
Issue
Section
License
Copyright (c) 2022 Boromarajonani College of Nursing, Nakhon Si Thammarat
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของ วิทยาลัยพยาบาลบรมราชชนนี นครศรีธรรมราช
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี นครศรีธรรมราช และบุคคลากรท่านอื่น ๆ ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใดๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
