Summary Background Difficult airway ( DA ), including difficult bag‐mask ventilation DBMV and intubation DI ) is an important challenge for the pediatric anesthesiologist. While expected can be successfully managed with appropriate equipment personnel, unexpected relies on resources available experience of anesthesiologist at time emergency. The incidence risk factors in otherwise healthy children, among patients are not known. aim this study was to expand scientific knowledge patients....

Background/Objectives: Unanticipated difficult airways remain a significant challenge in anesthesia practice and are associated with increased severe complication risk. This study developed validated novel predictive tool for identifying unanticipated airways. Methods: retrospective case-control analyzed data from 62,111 patients who underwent general between 2015 2020. Among them, 98 were identified matched 1:3 ratio 294 controls. Multivariate logistic regression was utilized to determine...

Objective This study aims to explore the association between intraoperative hypothermia and outcomes in adult patients undergoing laparoscopic surgery. Methods A retrospective analysis of 2048 surgery treated 2020 2021 was conducted at Songklanagarind Hospital, Thailand. Intraoperative hypothermia, defined as a core temperature below 36°C, recorded either one or more than episode. Patient demographics, clinical information postoperative were extracted from hospital system. The cardiac...

Objective: This study aims to identify the risk factors and develop a predictive score of intraoperative hypothermia in pediatric surgery. Methods: was retrospective cohort children under age 12 years who underwent anesthesia 2020 at super-tertiary care hospital, Thailand. Those with one episode body temperature 32-35°C or 35.1-35.9°C were defined as having mild very hypothermia, respectively. Data, including patient demographics, clinical information, perioperative data, extracted from...

Background: Oxidative stress and systemic inflammation during cardiac surgery can lead to postoperative complications. Although vitamin C thiamine (vitamin B1) have individually demonstrated protective effects, their combined effects remain underexplored. This study aimed evaluate the efficacy of B1 therapy versus that alone in reducing inflammatory biomarkers improving outcomes patients undergoing surgery. Methods: In this prospective, double-blind, randomized controlled trial, 64 scheduled...

We aimed to determine the clinical predictors of perioperative anticipated and unanticipated difficult intubation using a matched case-control study. recruited patients undergoing surgery with endotracheal from 2015 2020. Difficult was defined as at least 3 attempts perform conventional or video laryngoscopy before surgery. Controls were randomly selected in ratio 3:1 matching on year surgery, site operation age within 5 years. Clinical evaluated. A multivariate conditional logistic...

Knowledge of the excess hospital costs and prolonged length stay attributable to perioperative respiratory event (PRE) in pediatric anesthesia is useful for planning. In this study, we compared (excess indirect costs) between children who had PRE did not have noncardiac surgery at a tertiary care southern Thailand.A prospective matched cohort study was conducted aged <15 years underwent general November 2012 December 2013 Songklanagarind Hospital. were with no (1:1) using random selection...

The weight-based dosing of ondansetron to reduce hypotension has never been investigated. aim this study is determine the optimal dose required based on patient's weight following spinal anesthesia for cesarean section.In prospective, triple-blinded, parallel group, randomized controlled trial, a total 228 pregnant women were receive either normal saline (group NS) or 0.05 mg/kg O1) 0.1 O2) intravenously 5 min before induction anesthesia. incidence hypotension, mean arterial pressure, heart...

To compare sensitivity, specificity, receiver operating characteristic (ROC), and area under the curve (AUC) values using modified Frailty Index 11 (mFI-11), EuroSCORE II, combined mFI-11 II to predict in-hospital mortality composite morbidities.

The variation in the rate of intraoperative respiratory events (IRE) over time under anesthesia and influence anesthesia-related factors have not yet been described. objectives this study were to describe risk for IRE children at a tertiary care hospital southern Thailand. surveillance anesthetic database chart review 14,153 who received surgery Songklanagarind Hospital during January 2005 December 2011 used obtain demographic, surgical data. Incidence density per person-time was determined...

To determine the outcome and predictive factors of clinical success bronchial artery embolization in life-threatening hemoptysis.We reviewed all procedures performed for hemoptysis between January 2008 December 2018. The outcomes following were evaluated.One hundred eighty-four 145 patients eligible study. technical rates 170/184 (92.4%) 129/184 (70.1%), respectively. unstable hemodynamics prothrombin time/international normalized ratio >1.5 was associated with lower rate, while more than...

Abstract Background In morbidly obese patients, airway management is challenging since the incidence of difficult intubation three times than those with a BMI within healthy range. Standard preoperative evaluation may help to predict laryngoscopy. Recent studies have used ultrasonography-measured distance from skin epiglottis and pretracheal soft tissue at level vocal cords, cut-off points 27.5 mm 28 respectively been proposed The purpose this study evaluate for predicting laryngoscopy in...

Background This study aimed to determine the safety and efficacy of intraoperative intensive glycaemic treatment with modified glucose-insulin-potassium solution by hyperinsulinemic normoglycaemic clamp in cardiopulmonary bypass surgery patients. We hypothesised that would reduce infection rates this group Methods A prospective, randomised, double-blind trial was conducted total 199 adult patients (out a planned 400) were randomly allocated or conventional target glucose levels 4.4–8.3...

Objective To determine risk factors affecting time-to-death ≤90 and &gt;90 days in children who underwent a modified Blalock-Taussig shunt (MBTS). Methods Data from retrospective cohort study were obtained aged 0–3 years experienced MBTS between 2005 2016. Time-to-death (prior to Glenn/repair), time-to-alive up until December 2017 without repair, time-to-progression Glenn/repair following presented using competing risks survival analysis. Demographic, surgical anesthesia-related recorded....

Abstract We aimed to determine the correlation between mid-glottic transverse diameter/subglottic diameter and outer of endotracheal tube (ETT) by ultrasonography in children. Ninety-five patients aged 1–8 years who underwent general anesthesia were included. Ultrasonography glottic/subglottic was performed two investigators after anesthetized when train four showed ≤ 4. The subglottic measured at mid cricoid cartilage. mid-point true vocal fold triangle whereas distance arytenoids...

We aimed to construct a prediction tool for postoperative oxygen therapy and determine predictors of duration use among children undergoing non-cardiac surgery. Data from this case-control study was obtained database 9820 aged < 15 years who underwent general anesthesia between January 2010 December 2013 at tertiary care hospital in southern Thailand. The primary outcomes were the (hours) (cases). Cases matched with controls on age group year surgery ratio 1:4. A negative binomial hurdle...

To compare the effect of premedication with 2 different doses oral paracetamol to prevent pain at propofol intravenous injection. We conducted a double-blind randomized controlled trial in which patients scheduled for induction general anesthesia received either placebo, 500 mg or 1000 (P500 and P1000, respectively) 1 h prior induction. Two mg/kg was injected rate 600 ml/hr. After 1/4 full dose had been injected, syringe pump paused, were asked injection site using verbal numerical rating...

To determine whether perioperative desaturation (PD) in preschool children undergoing non-cardiac surgery is associated with subsequent impairment of intelligence or change age-specific weight and height percentile.A historical-concurrent follow-up study was conducted aged ≤ 60 months who underwent general anesthesia (GA) for between January 2008 December 2011 at Songklanagarind Hospital. Children developed PD (PD group) did not develop respiratory events (no-PRE were matched on sex, age,...

Background: Medical practitioners' attitudes have a significant impact on quality of care for cancer pain patients. This study was conducted to determine if being given lecture concerning and its management could improve the medical students. Materials Methods: A comparative in 126 fifth-year Each student completed pretest consisting 3 questions about toward optimal use analgesics 5 prescribing opioids. Then they were 1.5-hour lecture, immediately following which post-test with same...

Abstract Background The effective dose during ultrasound-guided rectus sheath block (URSB) for reducing pain after laparoscopic tubal ligation is reported to be 100 mg of 0.25% bupivacaine. We examined the minimal bupivacaine URSB on oral analgesic requirement ambulatory single-port resection. Methods A prospective, randomized controlled, superiority trial was conducted among patients who had been scheduled resection between September 2015 and January 2019 at a tertiary care hospital in...