Journal of the Medical Association of Thailand = Chotmaihet thangphaet
-
Randomized Controlled Trial
Application of mometasone spray to reduce sore throat after tracheal intubation.
Many factors in tracheal intubation lead to postoperative sore throat from mucosal injury. Mometasone furoate spray is a moderate potency corticosteroid that prevents influx of inflammatory cells into the mucosa. The present study assessed the efficacy of this drug for reducing postoperative sore throat. ⋯ Application of mometasone spray reduces postoperative sore throat after tracheal intubation.
-
Randomized Controlled Trial Comparative Study
Comparison of effective-site target controlled infusion and manually controlled infusion of propofol for sedation during spinal anesthesia.
Compare the efficacy of sedation of propofol infusion during spinal anesthesia between effective-site target controlled infusion and manually controlled infusion during spinal anesthesia. ⋯ The clinical benefit when used for sedation during spinal anesthesia of MCI was not different from TCI. There were complications in the TCI group more than the MCI group.
-
A novel influenza A (H1N1) virus of swine origin caused human infection and acute respiratory illness in Mexico during the spring of 2009. After that, the virus spread globally, resulting in the influenza pandemic. ⋯ The burden and character of pandemic influenza infection in developing countries are still incompletely understood. Early therapy with oseltamivir in severely ill patients, without waiting for laboratory confirmation for diagnosis, will save patients from severe complications.
-
To evaluate the clinical features, causative pathogens and outcomes-related to acute hematogenous osteomyelitis and septic arthritis in pediatric patients. ⋯ MSSA was the most common bacterial pathogen causing pediatric osteoarticular infections in all age groups but was second to MRSA in the newborn group. Osteoarticular sequelae were avascular necrosis of epiphysis, limb length discrepancy, and pathologic fracture which were significantly related to longer duration of presenting symptoms, newborn age group, hip joint involvement, MRSA infection and delayed administration of appropriate antibiotics.
-
Malnutrition is common in infants and children with congenital heart disease (CHD). Cardiac surgery has improved patient survival and nutritional status. ⋯ Malnutrition was found in 40% of pediatric patients with CHD and cardiac surgery has a significant positive effect on weight gain and nutritional status.