Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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To evaluate the specific computed tomography (CT) imaging criteria for differentiating abdominal tuberculous lymphadenopathy from lymphoma by using abdominal multidetector computed tomography (MDCT). ⋯ The present study indicates that the anatomical site, anatomical distribution, enhancement patterns, and size of lymphadenopathy, persistent ascites, and small and large bowel involvement seen on contrast-enhanced MDCT is useful in differentiating between tuberculosis and untreated lymphomas.
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Postoperative sore throat (POST) has been one of the most common complaints after anesthesia. In Siriraj Hospital, a high volume of general anesthesia is performed annually, but there was limited data regarding this complaint. ⋯ POST was common after general anesthesia. Careful airway management might be the key to prevent this occurrence and to improve the quality of anesthetic care.
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Hyperkalemia is common when spironolactone and angiotensin converting enzyme inhibitors (ACEls) or angiotensin receptor blockers (ARBs) are combined. ⋯ The prevalence of hyperkalemia in adult patients taking spironolactone and ACEIs or ARBs is 11.2%. Risk of hyperkalemia is chronic kidney disease, high serum potassium, and high spironolactone use.
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Ceftriaxone is one of the most common empirical antibiotics prescribed at emergency rooms in Thailand. Inappropriate prescriptions of antibiotics have been frequently reported. The authors aimed to study factors that determine the appropriateness ofceftriaxone usage at an emergency room ofa university hospital in Thailand. ⋯ Proportion of appropriate use of ceftriaxone is fair. As assessed by established criteria, clinical suspicion of infection was associated with appropriateness of ceftriaxone usage for empirical treatment in an emergency room setting. Interventions to improve appropriateness of ceftriaxone prescription should focus on these factors.
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Good pain management can improve the outcome of patient care after cardiac surgery. The intensity of pain after cardiac surgery is often underrated. Inadequate pain control can result in increased morbidity and length of hospital stay as well as lead to chronic pain. Therefore, the authors conducted a study to identify the prevalence and risk factors of moderate to severe pain after cardiac surgery including treatment and complication. ⋯ The prevalence of moderate to severe pain in the present study was high and duration of cardiopulmonary bypass was the only factor affected Still, most patients were satisfied with the pain treatment.