- Acute Kidney Injury Research
- Dialysis and Renal Disease Management
- Cardiac Arrest and Resuscitation
- Mechanical Circulatory Support Devices
- Chronic Kidney Disease and Diabetes
- Erythropoietin and Anemia Treatment
- Heart Failure Treatment and Management
- Congenital Diaphragmatic Hernia Studies
- Sepsis Diagnosis and Treatment
- Tracheal and airway disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Drug-Induced Hepatotoxicity and Protection
- Poisoning and overdose treatments
- Esophageal and GI Pathology
- Corporate Taxation and Avoidance
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Liver Disease and Transplantation
- Corporate Finance and Governance
- Burkholderia infections and melioidosis
- Hemodynamic Monitoring and Therapy
- Organ Transplantation Techniques and Outcomes
- Central Venous Catheters and Hemodialysis
Thammasat University Hospital
2023-2025
King Chulalongkorn Memorial Hospital
2023-2024
Central Chest Institute of Thailand
2021-2024
Chulalongkorn University
2021
Introduction: Extracorporeal membrane oxygenation (ECMO) has emerged as a life-saving and bridging therapy for critically ill patients grappling with severe cardiopulmonary failure. However, ECMO is associated multiple complications, including acute liver failure (ALF), which significantly worsens prognosis mortality rates. This case report presents unique instance of simultaneous extracorporeal cardiorespiratory support. Case presentation: A 43-year-old female history infective endocarditis...
Background: Sodium-glucose co-transporter 2 (SGLT2) inhibitors are increasingly recognized as first-line treatments for type diabetes mellitus, chronic kidney disease, and heart failure. However, peri-procedural management of SGLT2 in patients undergoing elective coronary angiography (CAG) remains unclear. This study aimed to evaluate the effects continuing versus withholding on incidence contrast-associated acute injury (CA-AKI) CAG. Methods: In this prospective, multicenter, open-label...
Currently, there is a lack of evidence to guide optimal care for acute kidney injury (AKI) survivors. Therefore, post-discharge by multidisciplinary team (MDCT) may improve these outcomes. This study aimed demonstrate the outcomes implementing comprehensive MDCT in severe AKI survivors.This was randomized controlled trial conducted between August 2018 January 2021. Patients who survived stage 2-3 were enrolled and be followed up with either or standard 12 months. The post-AKI involved an...
Citrate has been proposed as anticoagulation of choice in continuous renal replacement therapy (CRRT). However, little is known about the pharmacokinetics (PK) and metabolism citrate liver failure patients who require CRRT with regional (RCA). This prospective clinical PK study was conducted at King Chulalongkorn Memorial Hospital between July 2019 to April 2021, evaluating seven acute (ALF) acute-on-chronic (ACLF) received support utilizing RCA an anticoagulant a dose 3 mmol/L. For...
ABSTRACT Background Current guidelines recommend monitoring of post-filter ionized calcium (pfCa) when using regional citrate anticoagulation during continuous renal replacement therapy (RCA-CRRT) to determine efficiency for the prevention filter clotting. However, reliability pfCa raises question whether routine is required. Reducing frequency could potentially reduce costs and workload. Our objective was test efficacy safety no among critically ill patients receiving RCA-CRRT. Methods This...
Acute kidney injury (AKI) awareness and knowledge among survivors is poor, leading to suboptimal self-management follow-up care. The purpose of the study was evaluate impact a multidisciplinary post-AKI clinic on AKI survivors.
Background: The estimated incidence of acute kidney injury requiring continuous renal replacement therapy (CRRT) in patients necessitating extracorporeal membrane oxygenation (ECMO) is approximately 50%. Currently, two well-known techniques—integration and separation—are utilized for combining CRRT ECMO circuits. efficacy these techniques still unknown. Therefore, this study aimed to compare the circuit lifespan between integration separation techniques. Methods: A multicentered randomized...
Background: Cardiorenal syndrome (CRS) type 1 defined as acute kidney injury (AKI) in decompensated heart failure (ADHF), is complicated due to diverse definitions. Recently, a more precise CRS definition was proposed, mandating concurrent AKI and signs of unimproved (HF). Our study explores the incidence, predictors, long-term outcomes ADHF under this new definition. Methods: A prospective observation patients categorized into 1, pseudo-CRS, non-AKI groups, followed for 12 months. involved...
Acute kidney injury (AKI) survivors are at an increased risk of chronic disease, end-stage and mortality. Little is known about the effect erythropoietin (EPO), a kidney-producing hormone, in post-AKI setting. We aimed to investigate role EPO as predictor long-term outcomes post-severe AKI survivors.We performed retrospective analysis cohort conducted between August 2018 December 2021. Adults who survived severe stages 2-3 were enrolled. Serum was obtained 1 month after hospital discharge....
Pulmonary sequestration is characterized by a nonfunctional mass of lung tissue with an aberrant blood supply. Intralobar pulmonary (IPS) typically affects lower lobes and receives its supply from systemic arteries. Here, we present unique case 51-year-old woman presented recurrent nonmassive hemoptysis. Contrast-enhanced computed tomography angiography (CTA) the chest showed uniform consolidation in inferior lingular segment left upper lobe. Maximal intensity projection (MIP)...
Abstract Background: Currently, there is a lack of evidence to guide the optimal care for post-acute kidney injury (AKI) survivors. Therefore, post-discharge by multidisciplinary team (MDCT) may improve these outcomes. This study aimed demonstrate outcomes implementing comprehensive MDCT in post-severe AKI Methods: was randomized controlled trial conducted between August 2018 January 2021. Patients who survived severe stage 2-3 were enrolled and be followed up with either or standard 12...