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Background and objective: Operating room nurse was one of the team's personnel who is crucial... more Background and objective: Operating room nurse was one of the team's personnel who is crucial to the success of resuscitation. Cardiac arrest management requires an effective resuscitation team. Our study aimed to investigate the operating room nurse’s confidence for cardiac arrest management. We also studied the associated factors influencing on their confidence. Materials and methods: This study was a prospective description study in 113 operating room nurses who work at Srinagarind hospital, faculty of Medicine, Khon Kaen university. We assessed their confidence level during cardiac arrest management and associated factors Results: The response rate was 65.5 %.Fair to strongly confidence in willing to perform was 62.8%, basic life support was 62.2%, advanced life support was 60.8%. 50% of operating room nurses did not have confidence in opening airway, ventilation, and automatic defibrillation. Associated factors were life support training, and resuscitation protocol. Conclus...

International Journal of Women's Health, 2020

Background: Oxytocin is used for initiating uterine contraction and preventing postpartum hemorrh... more Background: Oxytocin is used for initiating uterine contraction and preventing postpartum hemorrhage during caesarean delivery. Using a lower dosage of oxytocin may lower the risk of adverse effects while still being effective in stimulating initial uterine contraction. We aimed to compare the effectiveness and side effects of the standard 10 IU bolus of oxytocin with those of a 5 IU bolus during caesarean delivery. Patients and Methods: We enrolled women in a randomized, double-blind, study comparing intravenous injections of high-dose (10 IU) and low-dose (5 IU) oxytocin administered after clamping of the umbilical cord. The primary outcome was adequate uterine contraction within the first 3 mins after administration. Secondary outcomes included uterine tone, use of additional uterotonic agents, additional obstetrics procedures, and oxytocin-related adverse events. Results: A total of 155 women underwent randomization, with 78 in the low-dose group and 77 in the high-dose group. The proportion of women with adequate uterine contraction during the first 3 mins was 84.6% in the low-dose group and 77.9% in the high-dose group (relative risk, 1.09; 95% CI, 0.93 to 1.26). Methylergonovine maleate was used in 14.1% of cases in the low-dose group and 36.4% in the high-dose group (relative risk, 0.40; 95% CI, 0.22 to 0.73). The necessity for additional obstetric procedures, estimated blood loss >500 mL, neonatal outcomes, and oxytocinrelated adverse effects did not differ significantly between the two groups. Conclusion: The 5 IU bolus of oxytocin was noninferior to the standard 10 IU bolus of oxytocin for initiating adequate uterine contraction, required fewer additional uterotonic agents, and led to fewer oxytocin-related adverse events.

Background and objective: Operating room nurse was one of the team's personnel who is crucial... more Background and objective: Operating room nurse was one of the team's personnel who is crucial to the success of resuscitation. Cardiac arrest management requires an effective resuscitation team. Our study aimed to investigate the operating room nurse’s confidence for cardiac arrest management. We also studied the associated factors influencing on their confidence. Materials and methods: This study was a prospective description study in 113 operating room nurses who work at Srinagarind hospital, faculty of Medicine, Khon Kaen university. We assessed their confidence level during cardiac arrest management and associated factors Results: The response rate was 65.5 %.Fair to strongly confidence in willing to perform was 62.8%, basic life support was 62.2%, advanced life support was 60.8%. 50% of operating room nurses did not have confidence in opening airway, ventilation, and automatic defibrillation. Associated factors were life support training, and resuscitation protocol. Conclus...

International Journal of Women's Health, 2020

Background: Oxytocin is used for initiating uterine contraction and preventing postpartum hemorrh... more Background: Oxytocin is used for initiating uterine contraction and preventing postpartum hemorrhage during caesarean delivery. Using a lower dosage of oxytocin may lower the risk of adverse effects while still being effective in stimulating initial uterine contraction. We aimed to compare the effectiveness and side effects of the standard 10 IU bolus of oxytocin with those of a 5 IU bolus during caesarean delivery. Patients and Methods: We enrolled women in a randomized, double-blind, study comparing intravenous injections of high-dose (10 IU) and low-dose (5 IU) oxytocin administered after clamping of the umbilical cord. The primary outcome was adequate uterine contraction within the first 3 mins after administration. Secondary outcomes included uterine tone, use of additional uterotonic agents, additional obstetrics procedures, and oxytocin-related adverse events. Results: A total of 155 women underwent randomization, with 78 in the low-dose group and 77 in the high-dose group. The proportion of women with adequate uterine contraction during the first 3 mins was 84.6% in the low-dose group and 77.9% in the high-dose group (relative risk, 1.09; 95% CI, 0.93 to 1.26). Methylergonovine maleate was used in 14.1% of cases in the low-dose group and 36.4% in the high-dose group (relative risk, 0.40; 95% CI, 0.22 to 0.73). The necessity for additional obstetric procedures, estimated blood loss >500 mL, neonatal outcomes, and oxytocinrelated adverse effects did not differ significantly between the two groups. Conclusion: The 5 IU bolus of oxytocin was noninferior to the standard 10 IU bolus of oxytocin for initiating adequate uterine contraction, required fewer additional uterotonic agents, and led to fewer oxytocin-related adverse events.