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This case was an acquired aplastic anemia patient who required a major operation for excision of a mediastinal mass. The authors previewed that the coagulation abnormalities would be developed due to major operation. Thus we decided to monitoring the coagulation function using the thromboelastography during the perioperative period and checked the complete blood count, concommitantly. The total blood volume lost during operation was 1800 ml, so we gave him a transfusion of 10 U's of platelet concentrate, 10 U's of pheretic platelet rich plasma and 5 U's of whole blood. The thromboelastography was a good guide that helped us to avoid excessive treatment of the coagulation abnormalities. We concluded that the thromboelastograhy was a reliable and effective monitoring system at the intraoperative coagulation management.
Anemia, Aplastic* ; Anesthesia, General ; Blood Cell Count ; Blood Platelets ; Blood Volume ; Humans ; Perioperative Period ; Platelet-Rich Plasma ; Thrombelastography

6.Consideration of Rescue Breathing methods during Infant Basic Life Support.

Bum Ju KIM ; Young Ho JIN ; Jae Baek LEE

Journal of the Korean Society of Emergency Medicine 2000;11(1):105-110

BACKGROUND: The current recommendation of rescue breathing techniques in the infant is to blow both the nose and mouth of infants by caregiver's mouth but recent studies suggest some caregivers may have trouble sealing a infant's mouth and nose. The purpose of this study is to estimate the ability of mothers to create a seal to their infants for the provision of rescue breathing according to current recommendation. METHODS: Infants up to 1 year of age(n=98) and their mothers were enrolled from emergency department of Chonbuk National University Hospital. We measured the facial lengths of the infants and the width of mouth in their mothers and compared mouth widths of mothers with their infant's nose-to-mouth lengths. RESULTS: In infants between 0 to 6 months, Mother transverse lengths were significantly larger than mouth, nose and nose-to-mouth lengths of the infants. In infants between 7 to 12 months, Mother transverse lengths were significantly larger than mouth and nose lengths of the infants but there was no statistically significant difference between mother transverse lengths and nose-to-mouth lengths of infants. CONCLUSION: The finding indicate that the present recommendation to cover mouth and nose is partly not possible. We recommend that the mouth-to-nose ventilation of rescue breathing techniques for the infants who have respiratory arrest be taught to mothers.
Caregivers ; Emergency Service, Hospital ; Humans ; Infant* ; Jeollabuk-do ; Mothers ; Mouth ; Nose ; Respiration* ; Ventilation

1.Clinical review of surgical geratric patients over 65 years of age.

2.Refined correction method of unilateral cleft lip nasal deformity.

3.Clinical experience on split thickness skin graft from the scalp.

4.In vivo antitumor effects of lactic acid bacteria on sarcoma 180 and mouse lewis lung carcinoma.

5.Intraoperative Coagulation Management by TEG in a Patient with Aplastic Anemia: A case report.

6.Consideration of Rescue Breathing methods during Infant Basic Life Support.

7.Observation on 387 cases of peripheral cytopenia undergone bone marrow examination.

8.Clinical experience on instep full-thickness skin grafts for reconstruction of the hand.

9.Malar expansion in asymmetric faces(zygomatic ostectomy and spread-out techniques).

10.Reconstruction of soft tissue injury of lower extremity with free flap transfer.

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