Publications by authors named "Annop Piriyapatsom"
Article Synopsis
- * Height was the only significant factor associated with adherence to the LPV strategy, indicating taller patients were more likely to follow the recommended ventilation practices.
- * The LPV strategy was linked to increased 90-day mortality, suggesting the need for further research to determine if this relationship is due to the severity of illness or if the strategy itself contributes to higher mortality rates.
Background: Intraoperative cardiac arrest (ICA) during liver transplantation (LT) is a rare surgical complication that results in devastating outcomes. Moreover, previous worldwide studies have found inconsistencies in the risk factors associated with ICA in LT.
Methods: This was a retrospective cohort study of adult patients who underwent LT between January and October 2021 at Siriraj Hospital, a tertiary care hospital.
Intraoperative individualization of positive-end-expiratory pressure through electrical impedance tomography or esophageal pressure assessment: a systematic review and meta-analysis of randomized controlled trials.
J Clin Monit Comput
February 2024
Purpose: This systematic review of randomized-controlled trials (RCTs) with meta-analyses aimed to compare the effects on intraoperative arterial oxygen tension to inspired oxygen fraction ratio (PaO/FiO), exerted by positive end-expiratory pressure (PEEP) individualized trough electrical impedance tomography (EIT) or esophageal pressure (Pes) assessment (intervention) vs. PEEP not tailored on EIT or Pes (control), in patients undergoing abdominal or pelvic surgery with an open or laparoscopic/robotic approach.
Methods: PUBMED®, EMBASE®, and Cochrane Controlled Clinical trials register were searched for observational studies and RCTs from inception to the end of August 2022.
Background: The creation of pneumoperitoneum during laparoscopic surgery can lead to adverse effects on the respiratory system. Positive end-expiratory pressure (PEEP) plays an important role in mechanical ventilation during laparoscopic surgery.
Objective: To evaluate whether PEEP setting guided by oesophageal pressure (Poeso) measurement would affect oxygenation and respiratory mechanics during laparoscopic gynaecological surgery.
Purpose: To evaluate the effect of a skeletal muscle index derived from a routine CT image at the level of vertebral body L3 (L3SMI) on outcomes of extubated patients in the surgical intensive care unit.
Materials And Methods: 231 patients of a prospective observational trial (NCT01967056) who had undergone CT within 5days of extubation were included. L3SMI was computed using semi-automated segmentation.
Introduction: Intubation compromises mucus clearance, allowing secretions to accumulate inside the endotracheal tube (ETT). The purpose of this trial was to evaluate a novel device for ETT cleaning. We hypothesized that its routine use would reduce tube occlusion due to mucus accumulation, while decreasing airway bacterial colonization.
View Article and Find Full Text PDFObjective: Unplanned extubation (UE) is one of the most troubling events in critically ill patients who require endotracheal intubation and mechanical ventilation. The aims of this study are to determine the incidence and to identify the risk factors associated with UE in critically ill surgical patients.
Material And Method: This was a multi-center prospective observational cohort study, which included surgical patients admitted to nine university-based surgical intensive care units (SICUs) in Thailand between April 2011 and January 2013.
Objective: Red blood cell transfusion (RBCT) is commonly prescribed to critically ill patients with anemia. Nevertheless, the benefits of RBCT in these patients, particularly critically ill surgical patients, are still controversial. The aim of this study is to explore the association between RBCT and hospital mortality in Thai critically ill surgical patients.
View Article and Find Full Text PDFBackground: Re-intubation is associated with high morbidity and mortality. There is limited information regarding the risk factors that predispose patients admitted to the surgical ICU to re-intubation. We hypothesized that preoperative comorbidities, acquired muscular weakness, and renal dysfunction would be predictors of re-intubation in the surgical ICU population.
View Article and Find Full Text PDFBackground: The Centers for Disease Control and Prevention have recently introduced new ventilator-associated pneumonia (VAP) surveillance on the basis of the infection-related ventilator-associated complication (IVAC) definition. We aim to evaluate the accuracy of this new IVAC algorithm for detecting VAP according to the 2008 Centers for Disease Control and Prevention/National Healthcare Safety Network (NHSN) definition as the reference diagnosis (VAP-NHSN) in high-risk trauma patients.
Methods: This retrospective single-center study included all trauma subjects who were admitted to the ICU, required mechanical ventilation for >48 h, and received a blood transfusion.
Article Synopsis
- - The study investigates how tracheal intubation affects mucus clearance and leads to secretions clogging the tracheal tube (TT) in critically ill patients.
- - Researchers performed a three-phase analysis involving the collection of tracheal tubes post-extubation, correlation of CT imaging with airflow resistance, and reviews of chest CT scans from intubated patients.
- - Findings indicate that TTs commonly experience significant narrowing after prolonged intubation, which correlates with increased airflow resistance, suggesting that high-resolution CT could be a useful tool for assessing secretions within TTs.
Article Synopsis
- * Patients who received RBC transfusions exhibited higher rates of morbidity and mortality compared to those who did not, with specific factors like low body weight, high Sequential Organ Failure Assessment (SOFA) scores, and low initial hemoglobin levels linked to the need for transfusions.
- * The conclusion stresses the need for further large-scale studies to better understand the risks and benefits of RBC transfusion in this patient population.
Background: Postoperative sore throat (POST) has been one of the most common complaints after anesthesia. In Siriraj Hospital, a high volume of general anesthesia is performed annually, but there was limited data regarding this complaint.
Objective: To describe the incidence of POST and to determine risk factors associated with the occurrence of POST MATERIAL AND METHOD: Three hundred eighty seven patients were prospectively studied.
Sedation is used almost universally in the care of critically ill patients, especially in those who require mechanical ventilatory support or other life-saving invasive procedures. This review will focus on the sedation strategies for critically ill patients and the pharmacology of commonly used sedative agents. The role of neuromuscular blocking agents in the ICU will be examined and the pharmacology of commonly used agents is reviewed.
View Article and Find Full Text PDFDifficult intubation in the adult patients undergoing oropharygolaryngeal, neck, and maxillofacial procedures: Thai Anesthesia Incident Monitoring Study (Thai AIMS).
J Med Assoc Thai
December 2010
Background: Difficult intubation is one of the common anesthetic related complications during the perioperative period. In the patients with pathology or disease involving the oropharyngolarynx, neck, or maxillo-facial region, they might have a potentially higher risk than the general population.
Objective: To determine the characteristics and the contributing factors of difficult intubation in the adult patients undergoing oropharyngolaryngeal, neck, and maxillofacial procedures, and the factors minimizing this incidence and the suggested corrective strategies.