The Korean Journal of Critical Care Medicine.1991;6(1):13-25.
The Korean Journal of Critical Care Medicine
2002 (v1, n1) to Present ISSN: 1671-8925
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The Korean Journal of Critical Care Medicine.1992;7(2):105-112.
Poisoning patients in intensive care unit.
The Korean Journal of Critical Care Medicine.1991;6(2):101-105.
Intensive care unit outcome prediction by using APACHE II score.
The Korean Journal of Critical Care Medicine.1991;6(2):93-99.
Retropharyngeal Dissection during Nasotracheal Intubation: A Case Report.
The Korean Journal of Critical Care Medicine.2003;18(2):84-88.
Nasotracheal intubation is commonly performed for oropharyngeal or facial surgery. Although retropharyngeal dissection is a rare complication of nasotracheal intubation, serious sequelae may result. We report a case of a traumatic retropharyngeal dissection during nasotracheal intubation without untoward sequelae.
Intubation*
Intubation*
Cardiac Tamponade Caused by Epigastric Acupuncture: A Case Report.
The Korean Journal of Critical Care Medicine.2011;26(4):281-284. doi:10.4266/kjccm.2011.26.4.281
Acupuncture is considered a relatively safe procedure. However, there are serious adverse effects; neurological damage, pneumothorax, cardiac tamponade, serum hepatitis, bacterial and viral infections may occur. Cardiac tamponade is considered to be a rare adverse effect of acupuncture. In the following case, cardiac tamponade was caused by epigastric acupuncture. A 78-year-old male was admitted with a chief complaint of drowsy mentality and hypotension, suggesting a status of shock. He had received acupuncture therapy over epigastric area for gastric dyspepsia at a local oriental medical clinic. An abdominal CT scan and chest x-ray showed a hemopericardium. After receiving pericardiocentesis, his clinical condition improved immediately. He was short in stature and slender for his age. Chest x-ray and computed tomography showed cardiomegaly and pectus excavatum. A proper use of acupuncture by a skilled medical provider is essential to avoid serious complications.
Acupuncture ; Acupuncture Therapy ; Aged ; Cardiac Tamponade ; Cardiomegaly ; Dyspepsia ; Funnel Chest ; Hepatitis ; Humans ; Hypotension ; Male ; Pericardial Effusion ; Pericardiocentesis ; Pneumothorax ; Shock ; Thorax
Acupuncture ; Acupuncture Therapy ; Aged ; Cardiac Tamponade ; Cardiomegaly ; Dyspepsia ; Funnel Chest ; Hepatitis ; Humans ; Hypotension ; Male ; Pericardial Effusion ; Pericardiocentesis ; Pneumothorax ; Shock ; Thorax
Multiple Bilateral Perfusion Defects in the Infant with Acute Viral Bronchiolitis: A Case Report.
The Korean Journal of Critical Care Medicine.2011;26(4):272-275. doi:10.4266/kjccm.2011.26.4.272
Acute viral bronchiolitis (AVB) is an obstructive lung disease which frequently develops in infants and the most common functional involvement is a V/Q ratio change caused by small airway obstruction. We report a case showing the redistribution of pulmonary blood flow by multiple perfusion scan defects in an infant with AVB. A 15 month-old male infant visited ER due to respiratory difficulty. He manifested decreased lung sound in the left lung field, hyperinflation of the left lung on chest x-ray, and metabolic acidosis in blood gas analysis. A perfusion scan showed multiple perfusion defects of both lungs without the evidence of pulmonary embolism on a following cardiac CT and echocardiography. Human Rhinovirus PCR in a nasopharyngeal aspirate was positive. With supportive care, the symptom was resolved in 4 days. AVB can show multiple perfusion defects by the redistribution of pulmonary blood flow of which the direction is opposite to the usual distribution of pulmonary blood flow in children.
Acidosis ; Airway Obstruction ; Blood Gas Analysis ; Bronchiolitis, Viral ; Child ; Echocardiography ; Humans ; Infant ; Lung ; Lung Diseases, Obstructive ; Male ; Perfusion ; Polymerase Chain Reaction ; Pulmonary Embolism ; Respiratory Sounds ; Rhinovirus ; Thorax
Acidosis ; Airway Obstruction ; Blood Gas Analysis ; Bronchiolitis, Viral ; Child ; Echocardiography ; Humans ; Infant ; Lung ; Lung Diseases, Obstructive ; Male ; Perfusion ; Polymerase Chain Reaction ; Pulmonary Embolism ; Respiratory Sounds ; Rhinovirus ; Thorax
Recurrent Intracerebral Hemorrhage after Extubation in a Hypertensive Patient: A case report.
The Korean Journal of Critical Care Medicine.1999;14(2):176-180.
Postoperative hypertension occurs often in hypertensive patients due to pain, hypercapnia, hypoxemia, or excessive intravascular fluid volume. In addition, tracheal extubation exacerbates hypertension and tachycardia, which leads to left ventricular failure, myocardial infarction, or cerebral hemorrhage. We experienced a case of recurrent intracerebral hemorrhage after extubation in the postanesthetic care unit. The patient was 50-year old female who underwent total abdominal hysterectomy. Three months ago, she suffered a hypertensive cerebral hemorrhage with conservative treatment. Anesthesia induction and intraoperative course were relatively uneventful. In the postanesthetic care unit, she had voluntary movement of all limbs to command and fully awake consciousness. Immediately after tracheal extubation, the blood pressure was increased sharply to 200/110 mmHg. After then, the patient's mental status was deteriorated and the motor weakness of left extremities was developed. Brain CT showed a hypertensive hemorrhage at the right putamen and emergency stereotaxic aspiration was performed. After rehabilitative treatment, the patient was discharged with alert mental status and moderate improvement of motor weakness.
Airway Extubation ; Anesthesia ; Anoxia ; Blood Pressure ; Brain ; Cerebral Hemorrhage* ; Consciousness ; Emergencies ; Extremities ; Female ; Hemorrhage ; Humans ; Hypercapnia ; Hypertension ; Hysterectomy ; Intracranial Hemorrhage, Hypertensive ; Middle Aged ; Myocardial Infarction ; Putamen ; Tachycardia
Airway Extubation ; Anesthesia ; Anoxia ; Blood Pressure ; Brain ; Cerebral Hemorrhage* ; Consciousness ; Emergencies ; Extremities ; Female ; Hemorrhage ; Humans ; Hypercapnia ; Hypertension ; Hysterectomy ; Intracranial Hemorrhage, Hypertensive ; Middle Aged ; Myocardial Infarction ; Putamen ; Tachycardia
The Korean Journal of Critical Care Medicine.1999;14(2):167-175.
Usually FEV1 lower than 1 liter is considered as a contraindication to pneumonectomy. Therefore sometimes, the curative operations of the resectable lung cancer can not be performed in case of poor pulmonary functions. The usual criteria on the performance of pneumonectomy on high risk patients based on the preoperative assessment of pulmonary function may not predict the operative outcome with accuracy in the postoperative period. Nowadays, there are some arguing points about applying the values of preoperative PFTs to pulmonary resection surgery. We performed a right pneumonectomy for stage IIIb lung cancer in a patient with poor lung function test; FVC 2.17 L, FEV1 0.97 L, FEV1/FVC 44%, FEF 25~75% 0.42 L/sec, MVV 28 L/min, TLC 5.18 L, RV 2.99, DLCO 13.46. After the temporary ligation of right main pulmonary artery during 30 minutes, arterial blood gas and percutaneous oxygen saturation with the controlled ventilation with room air (FiO2=0.21) confirmed the hemodynamic and oxygenation stabilities, twice. After successful surgery, the patient was tolerated for 4 months. And the follow up PFTs at postoperative 3 months and 18 days showed as follows; FVC 1.20 L, FEV1 0.63 L, FEV1/FVC 53%, FEF 25~75% 0.31 L/sec, MVV 25 L/min, TLC 3.80 L, RV 2.33 L, DLCO 8.04. Through the intraoperative re-evaluation of pulmonary function in a patient with poor preoperative PFTs,had been conventionally considered as a contraindication to pneumonectomy, we report a successful surgery and anesthetic management with the literatures reviewed.
Anesthesia ; Follow-Up Studies ; Hemodynamics ; Humans ; Ligation ; Lung Neoplasms* ; Lung* ; Oxygen ; Pneumonectomy* ; Postoperative Period ; Pulmonary Artery ; Respiratory Function Tests* ; Ventilation
Anesthesia ; Follow-Up Studies ; Hemodynamics ; Humans ; Ligation ; Lung Neoplasms* ; Lung* ; Oxygen ; Pneumonectomy* ; Postoperative Period ; Pulmonary Artery ; Respiratory Function Tests* ; Ventilation
Incidence of Pulmonary Aspiration in Patients with Tracheostomy.
The Korean Journal of Critical Care Medicine.1999;14(2):161-166.
BACKGOUND: Patients with tracheostomy tubes have altered glottic closure in deglutition that may result in aspiration and may cause dangerous pulmonary complication including bronchopneumonia and atelectasis. The incidence of pulmonary aspiration in patients with tracheosomy may be high but difficult to determine because investigators often apply different criteria. The present study was prepared to document the incidence of aspiration in patients with tracheostomy using a simple dye-marker test. METHODS: Thirty six surgical and medical patients (14 male and 22 female) in ICU with tracheostomy tube (high volume, low pressure cuffed tube) were included in this study. Mental status (presence of response to verbal command), the presence of nasogastric tube and the presence of ventilatory support were recorded in each patients to evaluate the effect of these factors on the incidence of aspiration. 1% solution of methylene blue dye was applied on the both side of posterior tongue and then any evidence of the blue dye-marker obtained microscopically on secretion through the tracheostomy tube at every 2 hours during 72 hours was considered the positive evidence of aspiration. RESULTS: Aspiration was detected by a positive methylene blue dye test in 11 of the 36 patients (30.5%) and average length of time before blue dye was obtained on tracheal secretion was 8.2 7.3 hours.The presence of response to verbal command, nasogastric tube and ventilatory support had no apparent effect on the incidence of aspiration. CONCLUSIONS: This observation suggests that a simple test using dye-maker is helpful to detect aspiration in patients with tracheostomy. Tracheostomy should be done under discreet decision because the high incidence of aspiration in trcheostomized patients.
Bronchopneumonia ; Deglutition ; Humans ; Incidence* ; Critical Care ; Male ; Methylene Blue ; Pulmonary Atelectasis ; Research Personnel ; Tongue ; Tracheostomy*
Bronchopneumonia ; Deglutition ; Humans ; Incidence* ; Critical Care ; Male ; Methylene Blue ; Pulmonary Atelectasis ; Research Personnel ; Tongue ; Tracheostomy*
Country
Republic of Korea
Publisher
Korean Society of Critical Care Medicine
ElectronicLinks
http://koreamed.org/JournalVolume.php?id=45Editor-in-chief
Abbreviation
Korean J Crit Care Med
Vernacular Journal Title
대한구급학회지
ISSN
1229-4802
EISSN
Year Approved
2007
Current Indexing Status
Currently Indexed
Start Year
1986
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