Efficacy and safety of different bupivacaine concentrations in periarticular infiltration combined with adductor canal block for bilateral total knee arthroplasty: a randomized controlled trial.

Background: Pain management for bilateral total knee arthroplasty (BTKA) often combines adductor canal block (ACB) with periarticular infiltration (PAI). However, concerns arise regarding local anesthetic toxicity. This study evaluated the efficacy and safety of different bupivacaine concentrations in simultaneous BTKA.

Qualitative and quantitative gastric ultrasound assessment in highly skilled regional anesthesiologists.

Background: Pulmonary aspiration is a major complication in anesthesia, and various studies have shown that gastric sonography can reliably provide valuable information relative to both the qualitative and quantitative aspects of gastric content. This study aimed to determine the accuracy of ultrasound assessment of gastric content compared between two novice anesthesiologist gastric sonographers.

Methods: This prospective cohort study of two anesthesiologists learning to perform qualitative and quantitative ultrasound assessment of gastric content on healthy volunteers was conducted at Siriraj Hospital (Bangkok, Thailand).

Gestational diabetes and intraoperative tubal sterilization are risk factors for high incidence of pain after cesarean delivery: a prospective observational study.

Background: Postcesarean delivery pain leads to several adverse maternal outcomes. The primary objective of this study was to determine the incidence of moderate-to-severe pain after the use of spinal morphine for cesarean delivery. The secondary aim was to identify factors influencing moderate-to-severe pain.

Bilateral posterior Quadratus Lumborum block for pain relief after cesarean delivery: a randomized controlled trial.

Background: Achieving optimal analgesia with few side effects is the goal of pain management after cesarean delivery. Intrathecal (IT) morphine is the current standard but ultrasound-guided quadratus lumborum block (QLB) may offer superior pain control with fewer side effects. This study compared the pain-free period after cesarean delivery among parturients who received spinal block with IT morphine, with IT morphine and bilateral QLB, or only bilateral QLB.

Anesthetic Techniques and Incidence of Complications in Fetoscopic Surgery.

Background: Nowadays, fetoscopic surgery has been accepted to be a procedure to correct numerous congenital anomalies. This operation can be successfully done under general, regional or local anesthesia with sedation. Incidence of complications from anesthesia in fetoscopic surgery has not been reported in Thailand.

Postoperative Pain Management and the Risk Factors in Major Operation: A Baseline Study of Acute Pain Service, Siriraj Hospital.

Background: Acute pain service (APS) has been set up at Siriraj Hospital with the aim of providing postoperative pain management for patients receiving anesthetic pain control and other complicated cases undergoing major operations.

Objective: To identify the incidence of moderate to severe postoperative pain and its risk factors. To describe the techniques used and adverse effects in patients under APS care.

Prevalence and Characteristics of Abnormal Pre-Operative Chest X-Rays in Patients Undergoing Elective Surgery.

Objective: To determine the prevalence of pre-operative abnormal chest x-rays (CX Rs) in patients undergoing elective surgery, and to describe the management of the patients with abnormal CXRs. In addition, we question whether the healthy patients aged more than 45 years really needs pre-operative chest radiographs.

Material And Method: Patients undergoing elective surgery between June 2013 and May 2014 were recruited, and medical records were retrospectively reviewed.

Lidocaine for reducing propofol-induced pain on induction of anaesthesia in adults.

Background: Pain on propofol injection is an untoward effect and this condition can reduce patient satisfaction. Intravenous lidocaine injection has been commonly used to attenuate pain on propofol injection. Although many studies have reported that lidocaine was effective in reducing the incidence and severity of pain, nevertheless, no systematic review focusing on lidocaine for preventing high-intensity pain has been published.

Postoperative sore throat: incidence, risk factors, and outcome.

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.