Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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To investigate the validity and reliability of the Thai version of the confusion assessment method (CAM). ⋯ The present study demonstrated that the Thai version of CAM is a valid and reliable tool for assessing and diagnosing delirium in Thailand.
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To evaluate the performance of arterial pressure-based cardiac output (APCO) and pulse wave transit time-based cardiac output (esCCO) monitors in Thai patients undergoing cardiac surgery with cardiopulmonary bypass. ⋯ Despite the overestimation of CO measurements, APCO and esCCO calibrated with patient information has shown an acceptable trend as compared to TDCO in Thai patients undergoing CABG with cardiopulmonary bypass. Compared to esCCO, APCO demonstrated no significant differences ofprecision however; a lower mean bias was exhibited.
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In addition to cardiopulmonary monitoring, non-cardiopulmonary monitoring (non-CPM) is considered to be an important parameter in intensive care units (ICUs). However no data on this subject has been reported for Thai ICUs. The objective of the present study is to describe the non-CPM situation in Thai ICUs. ⋯ Some of the more advanced non-CPM devices are not found in Thai ICUs. Basic non-CPM devices are available in all ICUs. Some new devices for measurements and for biomarkers are used with greater prevalence in ACAD ICUs. Some measurements including IAP core temperature, lactate and ScvO2/SvO) are monitored less frequently in Thai ICUs (Thai Clinical Trial Registry: TCTR-201200005).
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There have been no data available on physicians and nurses who are vital human resources in Thailand. The objective of this study is to describe these characteristics as well as their working patterns in Thai ICUs. ⋯ Intensivists continue to be only scarcely available in Thai ICUs. Nurse workloads in non-academic ICUs were higher than those in academic ICUs. Specialty training for certified critical care nurses is in place for only one-third of the total number of ICU nurses. APNs are available in 25% of participating ICUs (Thai Clinical Trial Registry: TCTR201200005).
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Acute right ventricular dysfunction (RVD) is one of the hemodynamic alterations in patients with septic shock, pulmonary embolism and ARDS. This condition had previously been diagnosed by pulmonary artery catheters (PAC). This report is on the use of transthoracic echocardiography (TTE) to diagnose RVD in critically ill patients. ⋯ TTE is an accurate tool for the diagnosis RVD in critically ill patients with acceptable sensitivities and specificities.