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Journal of the Medical Association of Thailand, Chotmaihet Thangphaet

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https://www.readbyqxmd.com/read/27501622/development-of-an-assessment-test-for-an-anesthetic-machine
#1
Supinya Tiviraj, Bencharatana Yokubol, Somchai Amornyotin
OBJECTIVE: The study is aimed to develop and assess the quality of an evaluation form used to evaluate the nurse anesthetic trainees' skills in undertaking a pre-use check of an anesthetic machine. MATERIAL AND METHOD: An evaluation form comprising 25 items was developed, informed by the guidelines published by national anesthesiologist societies and refined to reflect the anesthetic machine used in our institution. The item-checking included the cylinder supplies and medical gas pipelines, vaporizer back bar, ventilator anesthetic breathing system, scavenging system and emergency back-up equipment...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501621/quality-of-anesthesia-care-in-a-university-hospital-in-thailand
#2
Sudta Parakkamodom, Phetcharee Chainchop, Thanaporn Napachoti, Apidechakul Parichad, Supranee Puangchan, Noitasaeng Papiroon, Somchai Amornyotin
BACKGROUND: Service quality is an important factor, which value differs between the patient's satisfaction and expectation. The patient's expectations are important factors for development. This service quality is a key part for improvement of our anesthesia service. In general, an improvement in service design and delivery helps to achieve higher levels of the service quality. OBJECTIVE: To evaluate the level of patient's expectation, patient's satisfaction and the quality of anesthesia care in a university hospital in Thailand MATERIAL AND METHOD: The patient satisfaction questionnaire, developed from service quality criteria and patient satisfaction questionnaire (PSQ-18), was applied to evaluate 467 in patients 24-72 hours after anesthesia care...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501620/50th-year-anniversary-of-department-of-anesthesiology-faculty-of-medicine-siriraj-hospital-mahidol-university
#3
Jariya Lertakyamanee
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, has started to be a formal anesthesia division, divided from division of Surgery in 1965; hence our 50th year anniversary in 2015. Research is now a priority and mandatory mission, according to the vision of Mahidol University. Second mission is to teach and train, and we produce the highest number of states-of-the-art anesthesiologists and anesthetic nurses each year Curriculum and training are being continuously improved. From a small unit, now it is one of the largest departments and extends the service, our third mission, to more than only in the operating theaters...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501619/reference-values-for-umbilical-cord-blood-gases-of-newborns-delivered-by-elective-cesarean-section
#4
Kattiya Manomayangkul, Arunotai Siriussawakul, Akarin Nimmannit, Thassayu Yuyen, Sopapan Ngerncham, Kanit Reesukumal
BACKGROUND: Umbilical cord blood gas values are better indicators of perinatal asphyxia than Apgar scores. Many studies have reported normal ranges of umbilical cord blood gases, which vary greatly due to many factors. This study aimed to establish the reference values of umbilical cord blood gases of normal cesarean newborns in a university hospital setting. MATERIAL AND METHOD: Blood samples from the umbilical artery and vein were collected from 160 newborns delivered by elective cesarean section...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501618/anesthetic-techniques-and-incidence-of-complications-in-fetoscopic-surgery
#5
Patchareya Nivatpumin, Pawinee Pangthipampai, Tachawan Jirativanont, Sukanya Dej-Arkom, Namtip Triyasunant, Thongchai Tempeetikul
BACKGROUND: Nowadays, fetoscopic surgery has been accepted to be a procedure to correct numerous congenital anomalies. This operation can be successfully done under general, regional or local anesthesia with sedation. Incidence of complications from anesthesia in fetoscopic surgery has not been reported in Thailand. OBJECTIVE: To describe anesthetic techniques and incidence of complications in fetoscopic surgery. MATERIAL AND METHOD: Data of 152 pregnant women undergoing fetoscopic surgery in a single university hospital was retrospectively chart reviewed from June 2005 to November 2015...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501617/the-success-of-mri-without-sedations-in-6-15-years-old-pediatric-patients-after-watching-mri-introductory-video
#6
Pichaya Waitayawinyu, Papassorn Wankan
High-quality imaging is important for effective diagnosis and treatment in pediatrics. In order to obtain such high-quality image, the patient has to be still during the scan, which may or may not require sedation depending on each patient's condition. This study, conducted at Siriraj Hospital in Bangkok, Thailand, focused on patient factors that influence success of radiologic procedures for patients without sedation. The participants were children aged between 6 to 15 years old. Participants and parents were asked to watch a 5-minute MRI introductory video, which was specially designed for children...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501616/onset-time-of-2-lidocaine-and-0-5-bupivacaine-mixture-versus-0-5-bupivacaine-alone-using-ultrasound-and-double-nerve-stimulation-for-infraclavicular-brachial-plexus-anesthesia-in-esrd-patients-undergoing-arteriovenous-fistula-creation
#7
RANDOMIZED CONTROLLED TRIAL
Orawan Pongraweewan, Nipa Inchua, Chanatthee Kitsiripant, Benchawan Kongmuang, Wannapa Tiwirach
OBJECTIVE: To reduce the onset of 0.5% bupivacaine by adding 2% lidocaine with 0.5% bupivacaine for ultrasound-guided and double stimulation technique at musculocutaneous and radial nerve for infraclavicular brachial plexus block. DESIGN: Prospective randomized double-blinded, controlled trial study. MATERIAL AND METHOD: 90 patients undergoing creation of arteriovenous fistula under ultrasound-guided infraclavicular brachial plexus block were randomized into 2 groups...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501615/incidence-of-delayed-recovery-from-femoral-nerve-block-in-total-knee-arthroplasty
#8
Thitima Chinachoti, Wattanan Makarasara
OBJECTIVE: Femoral nerve block has been proven as an effective analgesia for total knee arthroplasty (TKA). Delayed recovery from nerve block can result in serious complication during postoperative period. This prospective, single-center, observational study investigated the incidence in delayed recovery from femoral nerve block more than 24 hours postoperatively. MATERIAL AND METHOD: Two hundred and forty patients with femoral nerve block as part of anesthesia plan for elective unilateral TKA were recruited into study...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501614/femoral-nerve-block-versus-intra-articular-infiltration-a-preliminary-study-of-analgesic-effects-and-quadriceps-strength-in-patients-undergoing-arthroscopic-anterior-cruciate-ligament-reconstruction
#9
RANDOMIZED CONTROLLED TRIAL
Arissara Iamaroon, Suwitcha Tamrongchote, Busara Sirivanasandha, Pathom Halilamien, Pisit Lertwanich, Sudkanoung Surachetpong, Paweenus Rungwattanakit
BACKGROUND: Adequate analgesia and early rehabilitation is necessary for arthroscopic anterior cruciate ligament reconstruction (A CLR) surgery. OBJECTIVE: To compare analgesia and quadriceps strength after femoral nerve block (FNB) with intra-articular infiltration (IA) using 0.25% bupivacaine for ACLR with patella tendon graft. MATERIAL AND METHOD: Forty patients were randomized to receive FNB under ultrasound guidance with 20 mL of bupivacaine or IA with 15 mL of bupivacaine into the knee joint and 5 mL infiltrated along the incision sites including portal sites at the end of surgery...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501613/assessment-of-pain-severity-after-radiofrequency-ablation-in-patients-with-hepatocellular-carcinoma
#10
Araya Ongiem, Arunotai Siriussawakul, Wangdee Aungsumat Wangdee BNS, Saowanee Homsud, Tassanee Jaiyen
OBJECTIVE: To find the incidence of moderate to severe pain after percutaneous radiofrequency ablation (RFA) in patients with hepatocellular carcinoma and to identify the factors affecting unwanted pain scores. MATERIAL AND METHOD: This prospective study was conducted on patients who underwent percutaneous radiofrequency ablation under intravenous sedation and local anesthesia. The pain scores were obtained from 18 to 24 hours after the procedure. Moderate to severe pain was defined as a value of 4 or more on the Numeric Rating Scale (NRS)...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501612/effective-pain-management-for-inpatients-at-siriraj-hospital-a-retrospective-study
#11
Suratsawadee Wangnamthip, Pramote Euasobhon, Arunotai Siriussawakul, Sukunya Jirachaipitak, Janravee Laurujisawat, Kesinee Vimolwattanasarn
BACKGROUND AND OBJECTIVE: The prevalence of severe cancer and non-cancer pain among in patients has been reported at rates ranging from 15% to 36%. We examined the effectiveness of the pain management provided to inpatients by the Siriraj Pain Clinic. MATERIAL AND METHOD: A retrospective chart review was conducted among inpatients who had consulted the clinic between January 2013 and December 2014. Patients with a numeric pain rating scale (NRS) 4 on the day of consultation, those discharged within seven days, and postoperative patients were excluded...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501611/psychometric-validity-and-reliability-of-the-thai-version-of-the-neuropathic-pain-symptom-inventory
#12
Pramote Euasobhon, Neranchala Soonthornkes, Pranee Rushatamukayanunt, Suratsawadee Wangnamthip, Sukunya Jirachaipitak, Nattawut Maneekut, Janravee Laurujisawat, Wanna Srirojanakul
OBJECTIVE: The aim of this study was to evaluate validity and reliability of the Thai version of the Neuropathic Pain Symptom Inventory (NPSI-T) in Thai patients with neuropathic pain. Although the Thai version of Neuropathic Pain Symptom Inventory (NPSI-T) has been linguistically validated, the tool has to be psychometrically validated before applying to neuropathic pain patients in daily practice. MATERIAL AND METHOD: Forty Thai patients with diagnosis of neuropathic pain were enrolled to the study and were evaluated by visual analog scale (VAS), the Thai version of Neuropathic Pain Diagnostic Questionnaire (DN4-T) and NPSI-T questionnaires...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501610/postoperative-pain-management-and-the-risk-factors-in-major-operation-a-baseline-study-of-acute-pain-service-siriraj-hospital
#13
Vimolluck Sanansilp, Sukanya Dejarkom, Sittiporn Deetayart
BACKGROUND: Acute pain service (APS) has been set up at Siriraj Hospital with the aim of providing postoperative pain management for patients receiving anesthetic pain control and other complicated cases undergoing major operations. OBJECTIVE: To identify the incidence of moderate to severe postoperative pain and its risk factors. To describe the techniques used and adverse effects in patients under APS care. MATERIAL AND METHOD: A prospective study in 340 surgical patients under APS care from January to September 2008 was performed...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501609/pain-after-major-craniotomy-in-a-university-hospital-a-prospective-cohort-study
#14
Sirilak Suksompong, Nophanan Chaikittisilpa, Tadrawee Rutchadawong, Ekawut Chankaew, Benno von Bormann
BACKGROUND: Pain after major craniotomy has been believed to be less severe than the other operations. OBJECTIVE: To determine the incidence and risk factors of moderate to severe pain after major craniotomy. MATERIAL AND METHOD: This is a prospective observational study in a neurosurgical intensive care unit and wards of a university, tertiary hospital. After institutional IRB approval, patients undergoing major craniotomy during May 2011-August 2012 were interviewed preoperatively and 24 and 48 hours postoperatively...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501608/effectiveness-of-postoperative-epidural-analgesia-for-thoracic-and-abdominal-surgery-in-siriraj-hospital
#15
Mingkwan Wongyingsinn, Annisa Anuwongjaroen
BACKGROUND: Epidural analgesia is the recommended analgesic technique in patients having surgery with moderate to severe postoperative pain. Inadequate pain control in patients receiving epidural analgesia frequently occurred in clinical practice but the number of the success rate or the failure rate have not been reported in our university hospital. OBJECTIVE: The aim of the prospective descriptive study is to examine various data related to and evaluate the effectiveness of the postoperative epidural analgesia in Siriraj Hospital, a university hospital in Thailand...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501607/anesthetic-management-for-esophageal-stent-placement-in-an-endoscopy-unit-outside-operating-room
#16
Somchai Amornyotin, Sukanya Jirachaipitak, Surasawadee Wangnamtip
BACKGROUND: Esophageal stent placement is a minimally invasive procedure for treatment of esophageal strictures that cannot be treated with surgical procedure. It requires some forms of anesthesia. This procedure could be performed in the operating room and in the endoscopy unit. OBJECTIVE: The study is aimed to report and evaluate the choices and techniques, drugs used and complications of anesthesia in the patients undergoing esophageal stent placement procedure in an endoscopy unit outside the operating room in a developing country...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501606/incidence-of-abnormal-preoperative-blood-testing-and-postoperative-complication-in-appendectomy-patients-in-siriraj-hospital
#17
Pensiri Srishewachart, Sompol Narksut
BACKGROUND: A cute appendicitis is a common emergency surgical problem. Pre-operative complete blood count and urinalysis are used for supporting diagnosis. Blood chemistry is also requested for patient's status evaluation despite limited evidence of its cost-effectiveness. OBJECTIVE: The primary objective was to determine the incidence of abnormal pre-operative blood chemistry result. The secondary objectives were the relationship between preoperative abnormal blood chemistry and postoperative complication and to find the risk factors of abnormal blood chemistry...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501605/severe-venous-air-embolism-related-to-positioning-in-posterior-cranial-fossa-surgery-in-siriraj-hospital
#18
Pranee Rushatamukayanunt, Patchanon Seanho, Saipin Muangman, Manee Raksakietisak
BACKGROUND: Posterior cranial fossa surgery is commonly performed under sitting and horizontal position in our institution. Venous air embolism is a potentially serious complication of neurosurgery especially in the sitting position. OBJECTIVE: We aim to compare the incidence of severe venous air embolism and other complications of both positions. MATERIAL AND METHOD: A retrospective analysis of medical record was performed in 192 patients undergoing posterior cranial fossa craniotomy from January 2010 to December 2013...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501604/comparing-the-success-rate-of-radial-artery-cannulation-under-ultrasound-guidance-and-palpation-technique-in-adults
#19
RANDOMIZED CONTROLLED TRIAL
Suwimon Tangwiwat, Walaiporn Pankla, Pranee Rushatamukayanunt, Pichaya Waitayawinyu, Trisana Soontrakom, Anchala Jirakulsawat
BACKGROUND: Previous studies have shown ultrasound guidance (USG)for arterial cannulation being advantageous compared to palpation technique, but little is known about its performance by novices. OBJECTIVE: This study was to compare the utility of USG radial artery cannulation with palpation technique in terms of success rate, real-time to placement, number of attempts and complications. MATERIAL AND METHOD: After IRB approval, a randomized prospective study was performed November 2009-October 2010...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27501603/development-of-new-lemon-lime-flavored-beverage-for-ogtt-acceptability-and-reproducibility
#20
Phawinpon Chotwanvirat, Yotsapon Thewjitcharoen, Wyn Parksook, Sirinate Krittiyawong, Kritchana Hutaphat, Soontaree Nakasatien, Sming Kaocharoen, Thep Himathongkam
BACKGROUND: The oral glucose tolerance test (OGTT) is essential procedure in both screening and diagnosis of impaired glucose tolerance (IGT), impaired fasting glucose (IFG) and diabetes mellitus (DM), but it is not easy to perform because of intense sweetness of the 75-g glucose test beverage causing abdominal discomfort post-testing. Therefore, the new formula of non-carbonated lemon-lime flavored beverage was developed to increase its palatability and better compliance. OBJECTIVE: To develop a new non-carbonated lemon-lime flavored beverage to replace the standard beverage for OGTT Subsequently, the diagnostic value and acceptability between the new formula and the traditional 75-g OGTT formula were compared in healthy subjects...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
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