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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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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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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

?1rull

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a1q

20-50 fl

51-85 fl,J

rirrodtrarq (sD) fl

nr:frnu'rlre.

n1n?'lrJfi'Elrurlnur

foEIilfinur

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:

-

- J ^ rAcAU 19tFt1?1.it11 2 arnnr:rJ4Junnrra.oarilrs

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