lty'tl{fi911{fluu original article · 2019. 3. 6. · \2 nfifi duss, rjfrryvr# rilou,...
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Effects of Providiog Preanesthetic Risk Factor Information about
Incomplete Fast and Removal of False Teeth in General Anesthetic
Patients for OPeration
Sasinee Khumchoei RN'.
Paltipat Khumchoei'
Chanpitcha Khumchoei'
'Department of Nursing
ffirisrun:aa::r{ Sawanpracharak Hospital Na[Cron Sawan
'Medical student Faculty of Medicine
Chulalongkorn UniversitY
'Medical student Bangkok Metropolitan
Medical College and Vaiira Hospital
Sawanpracharak Medical |ournal
VoL e No. z MaY - August 2o11
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Setting
Design
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Abstract
Objective To examine the effectiveness of providing preanesthetic risk factors
information about incomplete fast and removal of false teeth in general
anesthetic patients before the operation.
Sawanpracharak hospital, Nakhon Sawan
Non-concurrent intervention study
862 general anesthetic patients who were selected by this study's
criteria, which were divided into control group and study group. Each
group has an equal number of 431 patients. The data of control
Subjects
flonornlrlfiio{aril6n6o.rnr:lsrri, u,n.r, uarrqr:ooofluJaollu{il:udrorialdrfro' Ioaii:;Sunrllfiinfi:ir'rntoEffects of Providing Preanesthetic Risk Factor tnformition about Incomplete Fast and Removal of False
Teeth in General Anesthetic Patients for Operation 83-.J-)1-lr 8 auun 2vr.n.-d.A.2554
Method
group was collected from October 2008 to July 2009, and the data
of study group was collected from October 2009 to August 2010.
The study group was previsited and given preanesthetic risk factors
information about incomplete fast and removal of false teeth before
the operation while the control group was previsited and given general
infOrmation. The number Cancellalion cancelled or delayed operations
from incomplete fast and the number of unremoved false teeth and
aspiration during induction, intubation, and extubation were collected,
analyzed and compared between each group using computer program-
Genders, ages, educations and occupations in both groups are not
differed significanfly. ln the control group, there were 2 delayed operations
due to incomplete fast (incidence rate 4.6:1,000) and 3 unremoved
false teeth (incidence rate 7.0:1,000). ln the study group, there was
1 unremoved false teeth due to the image issue (incidence rate 2.3:1,0O0).
Providing of preanesthetic risk factors information on incomplete fast
and removal of false teeth before operation gives patients knowledge
about severe complications and proper preparation for anesthesia
and makes them aware of how important of incomplete fast and
unremoved false teeth during the operation to reduce the incidence
of aspiration during intubation and extubation-
preanesthetic risk factors information, fast, false teeth, general anesthesia
Results
Conclusion
Key words
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1. dlJu:ru rfifluna.o, rfiaurfiry viainurt5o.o. n,trlfiilaeJdauLnnuamfi?rlilflJtail 1.q
firudn#.:i{ 1. flourriu: I:''firuvfrumrina'rdaflauu6u; 2547 -e 3 ^ d -. Q d t z----c d I q
2. ??1fl:fl1 rfiaiuni. Airuvay management. -[u:
?:1R:6u l{aouYl:, nu1 415u6[Ql lilt+,
ffilu:n[ rffEruylo.,:, u::rmfrn1: Idqffinm. l4ilfln:.,]fi 3. flolJllflu. FEfltu"naafltflYl:{
ty
2537. fiu',l 1 37-62.
danltf,u, flunillrl nltsud,al
d?T?n1l:3?1:nuL?Ud't:
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[:.,:fi ruvf1w1a{n:6urufi rina'r n'n ; zs47 .dv ( d - 4 - - .l e4 t e, a ^v &4. d::Flu FlTd?dFt. R'l?uLtmrn'ilauta.,:nrrrr.oun?1ilidnynfi.:nru fl,luy{izrnr:iahffir,rg,r.q.{{
A 6' &l - a e a < yy'{3J1{nT{Yl 2. flT{t?]?\l9: L?OUtLfl?n171{tJ?i; 2551. mUr 247-9.
5. Olsson GL, Hallen B, Hambracus-jonzon K. Aspiration during anesthetics. Acta
Anesthesiol Scand 1986; 30: 84-92.
6. Mellin-Olsen J, Fastin S, Gisvold SE. Routine preoperative gastric emptying is
seldom indicated: a study of 85,594 anesthetics with special focus on aspiration
pneumonia. Acta Anesthesiol Scand 1996; 4O: I '184-8.
7. Warner MA, Warner ME, Weber JG. Clinical significance of pulmonary aspiration
during the preoperative period. Anesthesiology 1993; 7g: 56-82.
8. American Society of Anesthesiologists Task Force on Preoperative Fasting. Practice
guidelines for preoperative fasting and the use of pharmacologic agent to reduce
the risk of pulmonary aspiration: application to healthy patients undergoing elective
procedures. Anesthesiology 1999; 79: 482-5.
9. Tordoff SG, Sweeney BP. Acid aspiration prophylaxis in 288 obstetric departments
in the United Kingdom. Anesthesia 1990; 45:776-80.
10. Charuluxananan S, Punjasawadwong Y, Suraseranivongse S. The Thai Anesthesia
lncidents Study (THAI Study) of anesthetic outcomes: ll anesthetic profiles and
adverse events. J Med Assoc Thai 2005;88(Suppl 7): S 14-29.
11. Suraseranivongse S, Valairucha S, Chanchayanon T, Mankong N, Veerawatakanon
T, Rungreungvanich M. The Thai Anesthesia incidents Study of pulmonary aspiration:
a qualitative analysis. J Med Assoc Thai 2005;88(Suppl 7): S 76-83.
12.Adams AM, Smith AF. Risk perception and communication: recent developments
and implication for anesthesia. Anesthesia 200't; 56(8): 745-SS.
13. Aikenhead AR. lnforming and consenting for anesthesia. Best Practice Research
Clinical Anesthesiology 2006; 20@): 507-24.
14. lnglis S, Farnill D. The effects of providing preoperative statistical anesthetic-risk
information. Anaesth lntens Care 1993; 21(6): 799-805.
15.61'rrrd dTLflT6fi'r.,rrf, a'.:nruro ui'r6, 6:rn:ai t:fnur, aJf,'a1 otiinri, d'qqd n{au.zuanrvYtu?to.0n1:'lfrfraUnriaunr:aj'r#orrflutanar:tfiarriunmru,6iuoo',nn',:tfiar:r.,:'u
arrruf f, n'Lul:rn arula ily1efl fl ra a. i #q { ar: 2ss2: 35: 239-49.
Horarflrdriio{ari.rtinriamr:mrll u,r',r ua;qr:oaerlurloadu{rhadrniauirdnreo2t:!{un2luldnil2, l{nru
a.J u Aur1 B ouull 2 $.n.-d.a. 2554
Effects of Providing Preanesthetic Risk Factor Inlormition about Incomplete Fast and Removal of FalseGmeral Anestheti
lvaryl{fi t f,nuruma.oriilra
anuflsnrirufinr*r
i
flailn?unilqq
druruliaaar; druruliaaav;P value
L?,{11
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20-50 fl
51-85 fl,J
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nr:frnu'rlre.
n1n?'lrJfi'Elrurlnur
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auuT6ual'l.loo
r.Earrurmid
a'l{?I
221(51.3)
21o(48.7)
215(4e.s)
216(50.1)
4e.8(10.7)
7e(18.5)
131(30.5)
123(28.6)
s7(22.4)
120(27.8)
105(24.41
66(15.s)
80(18.6)
60(13.s)
346(80.3)
85(1e.7)
230(53.4)
201(46.6)
21e(50.8)
212(4e.2)
46.4(11.0)
87(2o.2)
142(32.e)
106(24.6)
e6(22.3)
104(24.1)
104(24.1)
8e(20.6)
81(18.8)
53(12.4)
321(74.5)
1 10(25.5)
0.539
0.785
0.546
o.287
o.o42
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iu{r.:tnunTnTq,
n'l?l1EIjaul
ASA Physical Status
Status 1
Status 2
I
90 atd drns, Jfifind drros, fiu#fhn dlou d,r::Cil:&tlinfietdr:
-
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nrirufinr*r nailn?unil :tt
nr:rJfrrih6'ra1u?u aunfl1Tgu : 1,000 Q'lu?u au6nr:ru : 1,000 '
tdf,urjaanrfrrfiooairfirr 1 2.s s 7.oC.ufmouatlnnQlnn1:dau'l01?1,l: 0 0 2 4.6rl r lotilnTUn1ilr?a1mmfiua