Go to the profile of Somchai Amornyotin

Somchai Amornyotin (He/Him)

Professor, Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Thailand

When to Call Anesthesiologists for Sedation

Determining when to involve an anesthesiologist can be an important decision, dependent on the complexity of the procedure, patient’s medical condition, and the depth of sedation level required. This article evaluates the key considerations for calling an anesthesiologist for assistance.
Go to the profile of Somchai Amornyotin
Somchai Amornyotin
Mar 29, 2026

E-Cigarettes: What Anesthetic Personnel Need to Know?

The consequences of smoking on surgical outcomes are associated with the toxic effects of recent smoke inhalation and the cumulative chronic effects of tobacco exposure. E-cigarettes have emerged as a popular alternative to traditional tobacco smoking. E-cigarettes are a battery-operated device.
Go to the profile of Somchai Amornyotin
Somchai Amornyotin
Mar 29, 2026

Briefing Culture for Patient Safety

Patients and relatives or families expect to receive treatment and surgery to cure disease safely with no complications from a team of care providers consisting of surgeons, anesthesiologists, anesthesia nurses, operating room nurses and other coordinators.
Go to the profile of Somchai Amornyotin
Somchai Amornyotin
Mar 29, 2026

Nalbuphine: Pharmacology Revisited

Nalbuphine is a synthetic opioid analgesic that exhibits mixed agonist-antagonist properties. It is primarily used for the management of moderate to severe pain and has a unique pharmacological profile that differentiates it from pure opioid agonists such as morphine and fentanyl.
Go to the profile of Somchai Amornyotin
Somchai Amornyotin
Mar 29, 2026

When to Call an Anesthesiologist for GI Endoscopy

Gastrointestinal endoscopy is a key diagnostic and therapeutic tool in gastroenterology. Mild to moderate sedation administered by the endoscopist or experienced nurse was sufficient. However, patient profiles, demands, and safety have necessitated the increasing involvement of anesthesiologists. 
Go to the profile of Somchai Amornyotin
Somchai Amornyotin
Mar 29, 2026

Inhalation and Intravenous Anesthetic Agents: Pros and Cons

Anesthetic agents revolutionized surgical care by eliminating pain and allowing complex interventions to be performed with patient comfort and safety. Anesthetic drugs are chosen based on a multitude of factors including the duration of surgery, patient comorbidities, and risk of complications.
Go to the profile of Somchai Amornyotin
Somchai Amornyotin
Mar 29, 2026

Nalbuphine as an Intrathecal Adjuvant: a Minireview

Intrathecal administration of adjuvants has become a cornerstone in modern anesthetic techniques to optimize pain control while minimizing side effects. Nalbuphine, a semi-synthetic opioid with mu-opioid receptor antagonistic and kappa-opioid receptor agonistic properties.
Go to the profile of Somchai Amornyotin
Somchai Amornyotin
Mar 29, 2026

Role of Capnography for Gastrointestinal Endoscopy

Gastrointestinal endoscopy (GIE) procedure has become an essential modality for evaluation and treatment of gastrointestinal tract abnormalities. These procedures are often performed under sedation to minimize discomfort, suppress gag reflex, and facilitate therapeutic interventions.
Go to the profile of Somchai Amornyotin
Somchai Amornyotin
Mar 29, 2026

E-cigarettes Users: Anesthesia Revisited

E-cigarettes deliver nicotine or other substances via aerosolization without combustion. Devices vary widely in design, power output, and formulation content, with liquids containing nicotine, propylene glycol, glycerin, flavoring agents, and cannabinoids or other illicit substances.
Go to the profile of Somchai Amornyotin
Somchai Amornyotin
Mar 29, 2026

Role of Nebulization for Gastrointestinal Endoscopy

Gastrointestinal endoscopy (GIE) is an essential diagnostic and therapeutic tool. Generally, many GIE procedures could be safely performed without sedation or with topical anesthesia alone. There are a number of advantages associated with performing GIE without sedation.
Go to the profile of Somchai Amornyotin
Somchai Amornyotin
Mar 29, 2026

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