Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Randomized Controlled Trial
Direct Field Block with 40 ML of 0.125% Bupivacaine in Conjunction with Intrathecal Morphine for Analgesia after Cesarean Section: A Randomized Controlled Trial.
To investigate the effect of direct field block with 40 ml of 0.125% bupivacaine on the top of intrathecal morphine on postoperative pain free period. ⋯ Direct field block with 40 ml of 0.125% bupivacaine in conjunction with intrathecal morphine for cesarean section did not increase pain free period or decrease morphine consumption.
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Case Reports
The Treatment of Flexion Myelopathy of the Thoracic Spine in Pierre Robin Sequence: A Case Report.
A few studies had reported the spinal deformity associated with neurological symptoms in PRS patients. ⋯ Myelopathy from flexible kyphotic deformity in PRS patients can be successfully treated by posterior correction and fusion without decompression.
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In patient with non-valvular atrial fibrillation (AF), over 90% of thrombus accumulation originates in the left atrial appendage (LAA). Warfarin significantly reduces risk of stroke. However, long-term anticoagulant therapy is associated with a significant risk of major bleeding, particularly in elderly. Transcatheter occlusion of left atrial appendage with Watchman device has proved to be non-inferior to warfarin in preventing stroke in non-valvular AF patients. No previous report of transcatheter occlusion of LAA was found in Thailand ⋯ The result of the present study showed that percutaneous LAA occlusion with the Watchman device was feasible and safe. The successfulness of the procedures and periprocedural complications were similar to standard in literature.