Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Randomized Controlled Trial
Effectiveness of a preoperative single dose intravenous dexamethasone in reducing the prevalence of postoperative sore throat after endotracheal intubation.
To evaluate the effectiveness of two-different doses of prophylactic dexamethasone intravenous administration in reducing the prevalence of postoperative sore throat following general endotracheal anesthesia. ⋯ The intravenous dexamethasone had no significant effectiveness against postoperatively sore throat after endotracheal intubation.
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To evaluate the reliability and validity of the Thai version of the neck disability index (NDI) in neck pain patients. ⋯ The Thai version of NDI is a valid and reliable measurement method for evaluating neck pain disability.
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Clinical Trial
Predicting fluid responsiveness in septic shock patients by using 3 dynamic indices: is it all equally effective?
To evaluate the effectiveness and accuracy of three dynamic indices, currently available in intensive care monitoring devices, which are pulse pressure variation (PPV), stroke volume variation (SVV) and pulse oximetry plethysmographic waveform variation (POPV) in septic patients. ⋯ Comparing of PPV, SVV and POPV, PPV is the most correlate with percent change in cardiac index and the most effective dynamic index for predict fluid responsiveness in adult septic critically ill patients who are on controlled mechanical ventilator, followed by SVV and POPV.
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Tonsillectomy and adenoidectomy, one of the major procedures among otolaryngologist, may have risk in post operative complications which can be either non severe complications (dysphagia, wound pain, dehydration) or serious complications (Bleeding, partial airway obstruction). Meticulous attention to surgical techniques and technical advance in anesthesiology have significantly reduced the number of complications. In Thailand, there are few reports about the adenotonsillectomy complications so the objectives of the present study were to determine the prevalence and related risk factors in patients visiting the department of Otolaryngology, Phramongkutklao Hospital. ⋯ The prevalence of post operative complication after tonsillectomy and adenoidectomy was low but higher than other previous studies included the primary bleeding and secondary bleeding.
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Rapunzel syndrome is an uncommon form of trichobezoar (a collection of ingested hair in the stomach that fails to pass through the intestine) with an extension of hair into the small bowel. The authors report in the present article a case of Rapunzel syndrome in a 10-year-old Thai girl with an asymptomatic abdominal mass incidentally detected during a hospital visit. ⋯ A movable, firm and smooth epigastric mass 10 x 12 cm in size was found upon examination. Eventually the trichobezoar mass was surgically removed after a failed endoscopic removal.