1.Utility of Volume Assessment Using Bioelectrical Impedance Analysis in Critically Ill Patients Receiving Continuous Renal Replacement Therapy: A Prospective Observational Study.
Ki Hyun PARK ; Jung ho SHIN ; Jin Ho HWANG ; Su Hyun KIM
Korean Journal of Critical Care Medicine 2017;32(3):256-264
BACKGROUND: Fluid overload prior to continuous renal replacement therapy (CRRT) is an important prognostic factor. Thus, precise evaluation of fluid status is necessary to treat such patients. In this study, we investigated whether fluid assessment using bioelectrical impedance analysis (BIA) can predict outcomes in critically ill patients requiring CRRT. METHODS: A prospective observational study was performed in patients who were admitted to the intensive care unit and who required CRRT. BIA was conducted before CRRT; then, the ratio of extracellular water to total body water (ECW/TBW) was derived to estimate volume status. RESULTS: A total of 31 patients treated with CRRT were included. There were 18 men (58.1%), and the median age was 67 years (interquartile range, 51 to 78 years). Fourteen patients (45.2%) died within 28 days after CRRT initiation. Patients were divided into 16 with ECW/TBW ≥0.41 and 15 with ECW/TBW <0.41. Survival rate within 28 days was different between the two groups (P = 0.044). Cox regression analysis revealed a relationship between ECW/TBW ≥0.41 and 28-day mortality, but it was not statistically significant (hazard ratio, 3.0; 95% confidence interval, 0.9 to 9.8; P = 0.061). Lastly, the area under the curve of ECW/TBW for 28-day mortality was analyzed. The area under the curve of ECW/TBW was 0.73 (95% confidence interval, 0.54 to 0.92), and this was significant (P = 0.037). CONCLUSIONS: Fluid status can be assessed using BIA in critically ill patients requiring CRRT, and BIA can predict mortality. Further large trials are needed to confirm the usefulness of BIA in critically ill patients.
Body Water
;
Critical Illness*
;
Electric Impedance*
;
Humans
;
Intensive Care Units
;
Male
;
Mortality
;
Observational Study*
;
Prospective Studies*
;
Renal Replacement Therapy*
;
Survival Rate
;
Water
2.A clinical study of traumatic deviated nose.
Young Ho HWANG ; Young Joong HWANG ; Jong Won LEE ; Jeong Jun PARK ; Jong Hyun LEE
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(6):1060-1065
No abstract available.
Nose*
3.Comparison of Sodium Nitroprusside and Esmolol Induced Hypotension for Total Hip Arthroplasty.
Hyun Hee EUN ; Ho Yong HWANG ; Hong Hyun RYU ; Yong Woo LEE ; Seong Wan BAIK
Korean Journal of Anesthesiology 1997;33(2):324-329
BACKGROUND: Esmolol is a short acting sympathetic beta receptor antagonist, and it was successfully applied to induced hypotension. Esmolol lowers blood pressure by decreasing cardiac output, and does not cause vasodilation. This property of esmolol may help to decrease bleeding during induced hypotension. In this study, we tried to elucidate the effect of esmolol on induced hypotension for total hip arthroplasty. METHOD: Twenty patients receiving total hip arthroplasty were randomly divided to two groups. Esmolol group (10 patients) received esmolol as a hypotensive agent, and sodium nitroprusside (SNP) group (10 patients) received SNP as a hypotensive agent. We measured arterial blood gas analysis, vital sign, amounts of bleeding, amounts of transfusion and administered fluid, and various laboratory findings. RESULTS: Induced hypotension was successfully performed in either esmolol and SNP group. Heart rate increased by SNP, and decreased by esmolol. There were no statistically significant differences between the two groups in amounts of bleeding, amounts of transfusion or administered fluid, and laboratory findings. Arterial oxygen tension was relatively constant in esmolol group, but decreased in SNP group. CONCLUSION: Esmolol can be used as a single hypotensive agent during induced hypotension without significant side effects during total hip arthroplasty.
Arthroplasty, Replacement, Hip*
;
Blood Gas Analysis
;
Blood Pressure
;
Cardiac Output
;
Heart Rate
;
Hemorrhage
;
Humans
;
Hypotension*
;
Nitroprusside*
;
Oxygen
;
Sodium*
;
Vasodilation
;
Vital Signs
4.A Subperiosteal Ganglion of the Distal Radius: A Case Report.
Phil Hyun CHUNG ; Chung Soo HWANG ; Dong Ju CHAE ; Sang Ho MOON ; Dae Jin KIM ; Kyu Hwang UM
The Journal of the Korean Orthopaedic Association 1998;33(3):641-644
A subperiosteal ganglion has been very rarely reported, since Ollier reported first one in 1864. A subperiosteal ganglion is produced by mucoid degeneration and cyst formation within the periosteum, which results in cortical erosion. The characteristic plain radiolographic appearance of irregular cortical erosion and scalloping, with reactive periosteal bone spicules, has been considered pathognomonic of subperiosteal ganglion. Magnetic resonance imaging is performed to further characterize the soft tissue component of the mass. As in our patient, the characteristic signal intensities of magnetic resonance imaging are especially useful in identifying the lesion as a ganglion and in defining the lobular nature and the anatomical extent. We report here the case of a 35-year-old female who had a sudperiosteal ganglion of the distal radius.
Adult
;
Female
;
Ganglion Cysts*
;
Humans
;
Magnetic Resonance Imaging
;
Pectinidae
;
Periosteum
;
Radius*
5.Comparision of the Two Groups between Autologous Bone Chips and Cage as Posterior Lumbar Interbody Fusion in Spondylolisthesis Patients.
Pill Jae SHIN ; Chang Hyun KIM ; Jae Gon MOON ; Ho Kook LEE ; Do Yun HWANG
Journal of Korean Neurosurgical Society 2000;29(4):507-513
No abstract available.
Humans
;
Spondylolisthesis*
6.A Clinical Study of Rosacea.
Tae Hyun KIM ; Sang Min HWANG ; Won Soo LEE ; Sung Ku AHN ; Eung Ho CHOI
Korean Journal of Dermatology 2000;38(5):583-588
No Abstract Available.
Rosacea*
7.A Case of Leukocytoclastic Vasculitis Associated with Antiphospholipid Antibody Syndorme.
Tae Hyun KIM ; Eung Ho CHOI ; Sang Min HWANG ; Sung Ku AHN
Korean Journal of Dermatology 1999;37(4):519-522
The antiphospholipid antibody syndrome is an acquired multisystemic disorder characterized by persistent elevated antiphospholipid antibodies and/or hypercoagulation in veins or arteries, or both. The clinical manifestations of the antiphospholipid antibody syodrome are recurrent thrombosis, fetal loss, thrcenbocytopenia, and various cutaneous lesions. Skin lesions are the first sign of this syndrome in 41% of patients and systemic thrombosis develops in 40% of them. Livedo reticularis is the most common cutaneous finding of the antiphosphotipid antibody syndrome. Although vasculitis has not been frequently noted in antiphospholipid antibody syndrome, some vasculitis such as polyarteritis nodosa, giant cell arteritis, and other nonspecific vasculitides have been found in association with antiphospholipid antibody syndrome. We present a male patient with typical manifestations of leukocytoclastic vasculitis with deep vein thrombosis and positive antiphospholipid antibodies. It suggests that a case of antiphospholipid antibody syndorme was accompanied with cutaneous leukocytoclastic vasculitis.
Antibodies, Antiphospholipid*
;
Antiphospholipid Syndrome
;
Arteries
;
Giant Cell Arteritis
;
Humans
;
Livedo Reticularis
;
Male
;
Polyarteritis Nodosa
;
Skin
;
Thrombosis
;
Vasculitis*
;
Vasculitis, Leukocytoclastic, Cutaneous
;
Veins
;
Venous Thrombosis
8.Effect of dihydroergocristine(Unergol@) on supression of lactation.
Sang Cheon SEO ; Jin Wan PARK ; Tai Young HWANG ; Hyun Ho KIM ; Won Ki LEE
Korean Journal of Perinatology 1992;3(2):77-83
No abstract available.
Female
;
Lactation*
9.Rhinocerebral Mucormycosis with Intracerebral Hemorrhage.
Pill Jae SHIN ; Ho Kook LEE ; Chang Hyun KIM ; Kyung Hun YANG ; Do Yun HWANG
Journal of Korean Neurosurgical Society 2000;29(1):136-142
No abstract available.
Cerebral Hemorrhage*
;
Mucormycosis*
10.The effect of vaginal bleeding in the first half of pregnancy on outcome.
Jae Whan KWAK ; Jin Wan PARK ; Tai Young HWANG ; Hyun Ho KIM ; Won Ki LEE
Korean Journal of Obstetrics and Gynecology 1992;35(11):1577-1582
No abstract available.
Pregnancy*
;
Uterine Hemorrhage*