The Causes and Effects of Airway Incidents on Post-surgical ICU Patients

Authors

  • Manee Raksakietisak Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok
  • Patipan Tommtong Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok
  • Puttipannee Vorrakitpokatorn Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok
  • Suwimol Ruttanapongcharoen Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok
  • Wannee Yamchuti Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok

Keywords:

Airway Incidents, Post-surgical, ICU Patients

Abstract

Objective: To identify the causes and effects of in airway incident reduction in the post-surgical ICU, Siriraj Hospital. CQI program was gradually implemented to reduce the incidence.
Methods: Self-reported of airway incidents (unplanned extubation, tube dislocation, tube obstruction, unrecognised disconnection etc.) from August 2000-January 2001 were used for data collection and analysis. CQI program was implemented gradually over six months.
Results: Among 284 intubated patients in 524 patients admitted to post-surgical ICU, there were 24 episodes of airway incidents during 6 months, 15 episodes in the first trimester and 9 episodes in the second trimester. The incidents happened during afternoon shifts more than other shifts. Five patients experienced moderate cardiopulmonary events (hypoxemia or severe hypo or hypertension) and two resulted in death. Most (23 out of 24) episodes were considered preventable. The causes were; lack of manpower, insecure airways, lack of knowledge, inadequate communication and inadequate sedation.
Conclusion: Airways incidents occurred for several different reasons and occasionally resulted in death. Most of the causes were preventable. The CQI program aimed to define preventable causes and improved the quality of care.

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Published

11-08-2020

How to Cite

Raksakietisak, M. ., Tommtong, P. ., Vorrakitpokatorn, P. ., Ruttanapongcharoen, S. ., & Yamchuti, W. . (2020). The Causes and Effects of Airway Incidents on Post-surgical ICU Patients. Siriraj Medical Journal, 53(4), 218–223. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/244109

Issue

Vol. 53 No. 4 (2001): April

Section

Original Article

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