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.
CONCLUSION: Mixing 2% lidocaine with 0.5% bupivacaine to the final concentration of 0.67%for lidocaine and 0.33% for bupivacaine does not reduce the onset of ultrasound-guided infraclavicular brachial plexus block. PMID: 27501616 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - August 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

The Success of MRI without Sedations in 6-15 Years Old Pediatric Patients after Watching MRI Introductory Video.
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. Participants would then make decision whether they needed sedation or not. Fifty-five patients were included in this study. There were 37 patients agreed with non-sedation technique. Ninety-four percent of children (35/37) who decided to proceed without sedation, were able ...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - August 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Anesthetic Techniques and Incidence of Complications in Fetoscopic Surgery.
CONCLUSION: Spinal anesthesia (SA) is the most frequent technique used for fetoscopy, and hypotension is the most common complication. Since pulmonary edema was also found, judicious perioperative fluid management should be implemented to prevent postoperative pulmonary edema. PMID: 27501618 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - August 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Reference Values for Umbilical Cord Blood Gases of Newborns Delivered by Elective Cesarean Section.
CONCLUSION: The study determined normal reference values as a result of umbilical cord blood gas analyses. PMID: 27501619 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - August 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

50th Year Anniversary of Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University.
Authors: Lertakyamanee J Abstract 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...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - August 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Quality of Anesthesia Care in a University Hospital in Thailand.
CONCLUSION: Patient's expectation and satisfaction with anesthesia services in our setting was relatively high. Although most patients never had been any expectation regarding anesthesia service, the information and the involvement in decision- making were the most requirements of the adult inpatients. PMID: 27501621 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - August 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Development of An Assessment Test for An Anesthetic Machine.
CONCLUSION: An evaluation form proved to be a reliable and effective tool for assessing the anesthetic nurse trainees' checking of an anesthetic machine before the use. This evaluation form was brief clear and practical to use, and should help to improve anesthetic nurse education and the patient safety. PMID: 27501622 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - August 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Characteristics and Outcomes of Treatment for Non-ST-Segment Elevation Acute Coronary Syndrome: Results from a Single Center Registry.
CONCLUSION: Most patients in the registry were high-risk ACS patients. In-hospital mortality and one-year mortality rates were 3.5% and 5%, respectively. Results from this study were comparable to results reported by previous studies from the Western world PMID: 27455818 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - July 29, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Effectiveness and Safety of Generic Formulation of Cefoperazone/Sulbactam (Bacticep ®) in Treatment of Infections at Siriraj Hospital.
CONCLUSION: Generic cefoperazone/sulbactam (Bacticep®) was found to be non-inferior to original cefoperazone/sulbactam for therapy of infections in hospitalized patients at Siriraj Hospital. PMID: 27455819 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - July 29, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Intracranial Hemorrhage in Patients with Hematologic Disorders: Prevalence and Predictive Factors.
CONCLUSION: AML and AA patients had the highest risk of ICH compared with other hematologic disorders and several predictive factors for ICH were identified. PMID: 27455820 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - July 29, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Positive Pulmonary Computed Tomography Angiography in Patients with Suspected Acute Pulmonary Embolism: Clinical Prediction Rules, Thromboembolic Risk Factors, and Implications for Appropriate Use.
CONCLUSION: This was the first study to investigate prevalence of positive pulmonary CTA for acute PE in a large university-based tertiary referral hospital in Thailand Prevalence of positive test for PE by pulmonary CTA in patients with suspected acute PE was approximately 33%. Sign of DVT S1Q3T3 pattern, and enlarged right pulmonary artery were significant clinical predictors of positive pulmonary CTA. Positive pulmonary CTA result was much less likely in patients with low probability, especially in the absence of thromboembolic risk factors and positive D-dimer This study emphasized the importance and value of accurate ...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - July 29, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Revised Ghent Criteria is Comparable to Original Diagnostic Criteria for Marfan Syndrome with Increased Ability to Clinically Diagnose Related Disorders.
CONCLUSION: Revised Ghent nosology has further differentiated MFS from other MFS-related disorders and has further expanded the classification of MFS-related disorders. Genetic testing of FBN1 helps physicians to more accurately diagnose patients with MFS and related disorders. PMID: 27455822 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - July 29, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Survey of Thai Physicians Regarding Recognition and Management of Inflammatory Back Pain and Spondyloarthritis.
CONCLUSION: Problems in diagnosis and management of SpA patients among NRs in Thailand included lack of knowledge and lack of associated clinical skills. Issues reported by rheumatologists centered on case management limitations. In order to improve overall quality of care for SpA patients, focused strategies should be implemented for both NRs and rheumatologists that consider the needs of patients, clinicians, and policy makers. PMID: 27455823 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - July 29, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

The Cost of Asthma Treatment in Phramongkutlao Hospital: Population-Based Study in Adults.
CONCLUSION: The direct non-medical costs and indirect medical costs tend to play an important role of asthma treatment. The data suggested that cost savings could be achieved by improving asthma control. PMID: 27455824 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - July 29, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Comparison of Prevalence of Nutritional Status of Thai Children in the First 2 Years of Life Using National and International Growth Charts.
CONCLUSION: Although the Thai growth charts better reflect the Thai children, in consideration of a double burden of stunting and overweight in Thailand, the WHO standards can be used to identify Thai children at risk of stunting and overweight in the first two years of life. PMID: 27455825 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - July 29, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research