A5082597610- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Shoulder Injury and Treatment
- Central Venous Catheters and Hemodialysis
- Respiratory Support and Mechanisms
- Anesthesia and Sedative Agents
- Vascular Procedures and Complications
- Intensive Care Unit Cognitive Disorders
- Anesthesia and Neurotoxicity Research
- Hemodynamic Monitoring and Therapy
- Dental Anxiety and Anesthesia Techniques
- Spine and Intervertebral Disc Pathology
- Hernia repair and management
- Vascular anomalies and interventions
- Cardiovascular Syncope and Autonomic Disorders
- Cardiac Arrest and Resuscitation
- Nausea and vomiting management
- Obstructive Sleep Apnea Research
- Neuroscience of respiration and sleep
- Pelvic and Acetabular Injuries
- Innovations in Medical Education
- Pain Management and Treatment
- Intraoperative Neuromonitoring and Anesthetic Effects
- Medical Education and Admissions
Chiang Mai University
2017-2025
Maharaj Nakorn Chiang Mai Hospital
2017-2020
Pontificia Universidad Católica de Chile
2017
Montreal General Hospital
2017
McGill University
2017
Siriraj Hospital
2015-2016
Mahidol University
2015
The formula-based estimation of the right internal jugular venous (IJV) catheterization depth can be inaccurate when using ultrasound guidance. External landmark-based and radiological methods have been proposed as alternatives to estimate insertion depth. This study aimed evaluate these transesophageal echocardiography (TEE)-guided reference. Ninety-seven adult cardiac surgery patients underwent real-time ultrasound-guided IJV catheterization, with placement at superior vena cava-right...
Introduction The optimal techniques of a parasternal intercostal plane (PIP) block to cover the T2–T6 nerves have not been elucidated. This pilot cadaveric study aims determine injection that achieve consistent dye spread over second sixth spaces after both ultrasound-guided superficial and deep PIP blocks. We also investigated presence transversus thoracis muscle at first its sonographic identification agreement, as well location internal thoracic artery in relation lateral border sternum....
<h3>Background and Objectives</h3> This dose-finding study aimed to determine the minimum effective volume in 90% of patients (MEV90) lidocaine 1.5% with epinephrine 5 μg/mL for ultrasound-guided costoclavicular block. <h3>Methods</h3> Using an in-plane technique a lateral-to-medial direction, block needle was positioned middle 3 cords brachial plexus space. The entire deposited this location. Dose assignment carried out using biased-coin-design up-and-down sequential method, where total...
Background and objectives This multicenter, randomized trial compared 2, 5, 8 mg of perineural dexamethasone for ultrasound-guided infraclavicular brachial plexus block. Our research hypothesis was that all three doses would result in equivalent durations motor block (equivalence margin=3.0 hours). Methods Three hundred sixty patients undergoing upper limb surgery with were randomly allocated to receive or preservative-free dexamethasone. The local anesthetic agent (35 mL lidocaine...
Ilioinguinal/iliohypogastric nerve block is commonly performed to control postherniotomy pain. The posterior quadratus lumborum has been recently described as an effective analgesic technique for pediatric low abdominal surgery. No data were found regarding the use of in comparison with traditional ilioinguinal/iliohypogastric inguinal surgery.This randomized assessor-blinded study compared postoperative effects between ultrasound-guided and herniotomy.One- seven-year-old children scheduled...
Objectives Obtaining accurate pediatric weight is necessary during emergency resuscitation. Although several estimation methods exist, the most precise method has not been conclusively determined. This study aimed to evaluate validity, reliability, and practicality of these tools. Methods A prospective observational was conducted in healthy Thai children aged 6 months 12 years. Correlations between estimated actual weights were tested. Validity assessed by mean bias (estimated minus weight)...
Background and objectives The intercostobrachial nerve (ICBN) has significant anatomical variation. Localization of the ICBN requires an operator’s skill. This cadaveric study aims to describe two simple ultrasound-guided plane blocks when it emerges at chest wall (proximal approach) passes through axillary fossa (distal approach). Methods relation adjacent structures was investigated in six fresh cadavers. Thereafter, we described potential techniques block. proximal approach injection...
The external anatomical landmark and the radiological have been introduced to provide estimation of depth right internal jugular venous catheter during insertion.This study aimed compare accuracy, agreement, reliability landmark, confirmation being by transesophageal echocardiography.This prospective observational was conducted in children ages 1-15 years. placed at superior vena cava atrium junction guided echocardiography. derived from echocardiography, recorded. optimal zone tip 5 mm...
Ultrasound-guided proximal and distal approaches of the intercostobrachial nerve (ICBN) blocks facilitate analgesia for upper arm axillary surgery, though success rates vary lack clinical comparison. This study compared their anesthetic analgesic efficacy as an adjunct to supraclavicular brachial plexus block arteriovenous access surgery.
Children with moderate-to-severe obstructive sleep apnea (OSA) require specific management. However, the risk factors associated this level of severity in pediatric OSA remain poorly defined. This study aimed to identify clinical predictors OSA.
Background While superficial parasternal intercostal plane blocks can improve analgesia after cardiac surgery, the optimal site and number of injections remain uncertain. This study aimed to compare efficacy single versus double blocks, hypothesizing that would achieve superior cutaneous sensory blockade. Methods 70 patients undergoing median sternotomy were randomly assigned receive either or bilaterally. Each patient received 40 mL 0.25% bupivacaine with epinephrine 5 µg/mL dexamethasone...
Undetected obstructive sleep apnea (OSA) in children increases the likelihood of perioperative respiratory complications. Current screening tools for OSA often lack sensitivity or are overly complex. This study aimed to develop and validate a simplified preoperative predictive model moderate-to-severe pediatric OSA. The included aged 1 18 years who underwent either polysomnography nocturnal pulse oximetry from January 2013 December 2020. severity was categorized using these tests, potential...
Background & Objectives: Having proper size of endotracheal tube (ETT) is crucial in pediatric patients. The practice using age-based formulas to calculate the ETT easy, practical and commonly used today. However, incidence inappropriate still judicious, hence increasing risk from changing such as trauma aspiration. This study was aimed proof that selecting ultrasound measurement subglottic diameter a reliable method lead less frequency than formula. Materials Methods: Ninety-three patients,...
<h3>Background and aims</h3> An ilioinguinal/iliohypogastric nerve block (II/IHB) is commonly performed to control post-herniotomy pain. the ultrasound-guided (USG) quadratus lumborum (QLB) also provides effective analgesia for lower abdominal surgery. This randomised, assessor-blinded study aimed compare analgesic effect of USG-QLB USG-II/IHB after paediatric unilateral inguinal hernia <h3>Methods</h3> After obtaining ethics committee approval (Maharaj Nakorn Chiang Mai Hospital), a total...