Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Randomized Controlled Trial
Relief of low back labor pain by using intracutaneous injections of sterile water: a randomized clinical trial.
To study the effectiveness of intracutaneous injections of sterile water in relieving low back pain during labor in Thai women. ⋯ The intracutaneous injections of sterile water was found to be an effective treatment against lower back pain during the first stage of labor.
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Preoperative evaluation is important in the detection of patients at risk for difficult tracheal intubation. Thyromental distance (TMD) is often used for these purposes, but its value as an indicator for difficult intubation is questionable, as it varies with patient size and body proportions. The purpose of the present study was to evaluate and compare the accuracies of the ratio of patient's height to TMD (ratio of height to TMD = RHTMD) and TMD alone in the prediction of difficult tracheal intubation in Thai patients. ⋯ Difficult intubation occurred in 42 patients (10.9 %). The predictive advantage of RHTMD has a similar specificity with improved sensitivity in comparison with TMD. The AUC of RHTMD was significantly greater than the AUC of TMD (p = 0.00). The authors concluded that RHTMD had better accuracy in predicting difficult intubation than TMD.
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Comparative Study Clinical Trial
Disposable laryngeal mask airway (Soft Seal) for endotracheal intubation: FOB guidance technique and blind technique.
To evaluate disposable LMA for endotracheal intubation using the FOB guidance and blind techniques. ⋯ A disposable laryngeal mask airway (Soft Seal) for blind endotracheal intubation had a low success rate, but it could be used more successfully with FOB guidance.
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To investigate the application of the Therapeutic Intervention Scoring System (TISS-28) and Sequential Organ Failure Assessment (SOFA) score to the surgical intensive care patients, and to find associated factors affecting length of stay (LOS). ⋯ The severity scores (TISS 28 and SOFA) can sufficiently demonstrate the workload and also the good predictors of ICU length of stay.