Siriraj Hospital

This study looks at whether giving steroids very early to patients with severe infections and low blood pressure works better than waiting until standard treatments fail. About 230 adults will be randomly assigned to get either early steroids or a placebo, and neither they nor th…

This study tests whether giving a blood-pressure-raising drug (norepinephrine) early and adjusting the dose quickly can help adults with septic shock survive longer. Researchers will compare this approach to standard care in 600 patients. The goal is to see if early treatment red…

This study tests a new step-by-step care plan for paramedics to use after an adult's heart is restarted following a cardiac arrest outside the hospital. The plan includes careful monitoring of oxygen, blood pressure, and fluids to prevent the heart from stopping again. About 318 …

This study tests whether custom pressure-guided elastic bandages can prevent leg swelling and other complications after coronary artery bypass surgery. About 106 adults having bypass surgery with leg vein removal will be split into two groups: one gets the custom bandages, the ot…

This study is testing whether a simple test called the suggested immobilization test (SIT), along with heart rate monitoring, can help doctors diagnose restless legs syndrome (RLS) more accurately. Currently, RLS is diagnosed based on symptoms, which can be tricky. The study will…

This study translates an English questionnaire for diagnosing carpal tunnel syndrome into Thai and checks if it works well. Researchers will enroll 80 Thai-speaking adults with confirmed carpal tunnel syndrome. The goal is to provide a reliable, easy-to-use tool for Thai doctors …

This study tests whether N-acetylcysteine (NAC), a common supplement, can prevent permanent hearing loss caused by the chemotherapy drug cisplatin. About 40 adults receiving high-dose cisplatin will be randomly assigned to take NAC or a placebo. Researchers will measure hearing c…

This study tests whether a shorter course of pelvic radiation after surgery is as safe and effective as the standard longer schedule for people with cervical or endometrial cancer. About 120 participants will be randomly assigned to one of the two radiation plans. The goal is to …

This study looks at how common malnutrition is among 600 adults waiting for surgery and whether a simple nutrition education program can improve their weight and nutritional health before the operation. Participants will be screened for malnutrition risk and receive guidance on e…

This study looks at whether doctors at Siriraj Hospital follow a new guideline for managing anemia in patients before major surgery. Anemia is common in surgical patients and can lead to more blood transfusions and longer hospital stays. The goal is to see how often the guideline…