Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Multicenter Study
The Thai Anesthesia Incident Monitoring study (Thai AIMS): an analysis of 21 awareness events.
To demonstrate the characteristics, outcomes, and the circumstances associated with intraoperative recall of awareness. ⋯ Intra-operative recall of awareness in the Thai AIMS was 1.05% of all incident reports. Most of the events were considered as anesthesia related. The suggested corrective strategies were quality assurance activity, effective monitoring and equipment maintenance.
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Multicenter Study
The Thai Anesthesia Incident Monitoring study (Thai AIMS): perioperative arrhythmia.
The Royal College of Anesthesiologists of Thailand organized the first national sentinel incident reports of anesthesia related adverse events in 2007 on an anonymous and voluntary basis. The aims of the present study were to analyze incidence, risk factors, clinical course and outcome of perioperative arrhythmia and indicate the contributing factors and suggested corrective strategies in the database of the Thai Anesthesia Incidents Monitoring Study (Thai AIMS). ⋯ Arrhythmia accounted for 19.2% of 2,537 incidents of the Thai AIMS database. Bradycardia was the most common type of cardiac arrhythmia. Most arrhythmia was benign but might be fatal. Suggested corrective strategies such as guidelines practice, improvement of supervision and quality assurance activity.
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Randomized Controlled Trial Comparative Study
A comparison of continuous femoral nerve block (CFNB) and continuous epidural infusion (CEI) in postoperative analgesia and knee rehabilitation after total knee arthroplasty (TKA).
Postoperative epidural analgesia (EA) and femoral nerve block (FNB) provided effective pain relief However, EA has common side effects such as nausea, vomiting, pruritus, dizziness, and hypotension. Some investigations found that those side effects were less in FNB than in EA. However the analgesic equivalent of both techniques have not been confirmed. ⋯ CFNB represents the optimal analgesia with fewer side effects and greater patient, satisfaction. The rehabilitation indices and duration of hospital stay are comparable in both groups.
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Comparative Study
Attributable mortality of imipenem-resistant nosocomial Acinetobacter baumannii bloodstream infection.
Uncertainty remains concerning the mortality attributable to infections caused by imipenem-resistant acinetobacter baumannii (IRAB). The authors have sought to examine the impact of this resistance on patient mortality. ⋯ The observed higher mortality rate among patients with an IRAB bloodstream infection may not be attributable to imipenem resistance but may in some part be due to a more severe illness, inappropriate antimicrobial therapy, and primary source of infection.
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Venous thrombosis is commonly found in nephrotic syndrome, but arterial occlusion is never report in Thailand. Four cases with cerebral and femoral arteries occlusion were demonstrated. The early diagnosis and appropriate intervention can improve outcomes, reduce mortality and morbidity significantly.