Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Randomized Controlled Trial Clinical Trial
Prevention of post operative pain after abdominal hysterectomy by single dose etoricoxib.
To test whether a reduction in post operative morphine consumption could be achieved by a single-dose of etoricoxib before induction of anesthesia. ⋯ Single dose etoricoxib 180 mg given before surgery provides the same analgesic effect as 120 mg for post operative pain after an abdominal hysterectomy.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison study between newly-designed pencil-point and cutting needles in spinal anesthesia.
The goal of this single blinded randomized study was to compare the use of routine cutting-tip spinal needle and newly-designed pencil-point Pajunk(AE) in terms of success rate, complications and satisfactions in priests undergoing spinal anesthesia for orthopedic, general and urological surgery at Priest Hospital, Thailand. ⋯ The newly-designed, pencil-point spinal needle was another example on the development of more refined towards quality anesthesia. To be cost-effective, it should be selected for patients at risk of CSF leakage-related complications.
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Randomized Controlled Trial Clinical Trial
A comparison of propofol-LCT with propofol-LCT/MCT on pain of injection.
Propofol-Lipuro 1% is consisting of long-chain triglycerides (LCT) and medium-chain triglycerides (MCT) that have been reported to reduce injection pain. ⋯ Propofol-LCT/MCT is superior to propofol-LCT on reducing pain of injection.
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Randomized Controlled Trial Clinical Trial
Reducing postoperative seroma by closing of axillary space.
Seroma is a common complication after mastectomy. Most postoperative seroma occur at the axilla. Many previous studies had tried to reduce seroma formation after mastectomy by multimodalities. Closing the dead space gave a good result for many previous retrospective studies but limited number of randomized control study. ⋯ There was no statistically significant difference of seroma thickness at the axilla between the two groups. Further study with a larger sample size is required.
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Randomized Controlled Trial Clinical Trial
Comparison of the efficacy between lidocaine spray plus lidocaine jelly lubrication and lidocaine jelly lubrication alone prior to nasogastric intubation: a prospective double-blind randomized controlled study.
Although a common procedure, nasogastric (NG) intubation is also painful and unsatisfactory. Previous studies showed the benefits of local anesthesia in various forms over lubricant jelly alone, but they are rarely used due to their inconvenience and unavailability. The authors conducted a double-blind randomized controlled study to compare a commercial-available 10% lidocaine spray plus 2% lidocaine jelly lubrication and 2% lidocaine jelly lubrication alone prior to NG intubation. ⋯ 10% lidocaine spray plus 2% lidocaine jelly lubrication was more effective in relieving patients' pain, discomfort, and resulted in higher physicians' satisfaction. There were also no additional side effects as compared to 2% lidocaine jelly lubrication alone. Therefore, it should be recommended for routine application.