Acute and Critical Care

Surgery
Postoperative Hypothermia: Deokkyu Kim; Acute Crit Care. 2019;34(1):79-80. Published online January 30, 2019; DOI: https://doi.org/10.4266/acc.2018.00395

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Sleep quality in cynomolgus macaques (Macaca fascicularis) varies by housing type and following surgery
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Indian Journal of Anaesthesia.2023; 67(10): 853. CrossRef
Determining the Effectiveness of Forced-Air Warming Blankets in Maintaining Postoperative Body Temperature: A Randomized Controlled Trial
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Mean Temperature Loss During General Anesthesia for Laparoscopic Cholecystectomy: Comparison of Males and Females
Usama Ahmed, Hameed Ullah, Khalid Samad
Cureus.2021;[Epub] CrossRef
Postoperative hypothermia and associate factors at Debre Berhan comprehensive specialized hospital 2019: A cross sectional study
Mengesha Dessie Allene
International Journal of Surgery Open.2020; 24: 112. CrossRef
Rebound hypothermia after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) and cardiac arrest in immediate postoperative period: a report of two cases and review of literature
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Pleura and Peritoneum.2020;[Epub] CrossRef

Basic science and research
Rehabilitation and Intensive Care Unit: Deokkyu Kim; Acute Crit Care. 2018;33(1):43-45. Published online February 28, 2018; DOI: https://doi.org/10.4266/acc.2018.00080

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Pharmacology
Comparing the Rates of Dopamine Hemodynamic Effect Onset after Infusion through Peripheral Veins in Three Regions: Deokkyu Kim, Ji-Seon Son, Won-Young Choi, Young-Jin Han, Jun-Rae Lee, Hyungsun Lim; Korean J Crit Care Med. 2017;32(1):39-46. Published online January 24, 2017; DOI: https://doi.org/10.4266/kjccm.2016.00808

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Abstract PDF: Background
Dopamine is an inotropic agent that is often selected for continuous infusion. For hemodynamic stability, the rate of infusion is controlled in the range of 5-15 μg/kg/min. This study aimed to compare the time intervals from the administration of dopamine to the onset of its hemodynamic effects when dopamine was administered through three different peripheral veins (the cephalic vein [CV], the great saphenous vein [GSV], and the external jugular vein [EJV]).
Methods
Patients in group 1, group 2, and group 3 received dopamine infusions in the CV, GSV, and EJV, respectively. A noninvasive continuous cardiac output monitor (NICCOMO™, Medis, Ilmenau, Germany) was used to assess cardiac output (CO) and systemic vascular resistance (SVR). Six minutes after intubation, baseline heart rate (HR), systolic blood pressure (BP), diastolic BP, mean arterial pressure (MAP), CO, and SVR values were recorded and dopamine infusion was initiated at a dose of 10 μg/kg/min. Hemodynamic changes at 0, 4, 8, 12, and 15 minutes postinfusion were recorded.
Results
No statistically significant differences were observed among the three groups with respect to the rate of hemodynamic change. In all groups, systolic BP, diastolic BP, MAP, and SVR tended to increase after decreasing for the first 4 minutes; in contrast, HR and CO decreased until 8 minutes, after which they tended to reach a plateau.
Conclusions
For patients under general anesthesia receiving dopamine at 10 μg/kg/min, there were no clinical differences in the effect of dopamine administered through three different peripheral veins.

Neurology/Pulmonary
Recent Trend in Therapeutic Hypothermia and Early-Onset Pneumonia in Cardiac Arrest: Deokkyu Kim; Korean J Crit Care Med. 2016;31(1):1-3. Published online February 29, 2016; DOI: https://doi.org/10.4266/kjccm.2016.31.1.1

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Recent Trend in Therapeutic Hypothermia and Early-Onset Pneumonia in Cardiac Arrest
Deokkyu Kim
Korean Journal of Critical Care Medicine.2016; 31(1): 1. CrossRef

Knotting and Kinking of the Guidewire during Central Venous Catheterization: A Case Report: Deokkyu Kim, Ji Hye Lee, Dong Chan Kim, Hyungsun Lim, Seonghoon Ko, Ji Seon Son; Korean J Crit Care Med. 2011;26(1):38-40.; DOI: https://doi.org/10.4266/kjccm.2011.26.1.38

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Abstract PDF: Central venous catheterization is often necessary to manage critically ill patients in the intensive care unit and some surgical patients in the operating room. However, this procedure can lead to various complications. We experienced a case of subclavian venous catheterization that was complicated by looping, kinking, knotting, and entrapment of the guidewire. We were able to identify the extravascular looping and knotting of the guidewire under fluoroscopy and consequently removed it successfully. We suggest that a guidewire should be confirmed by fluoroscopic imaging if it has become entrapped.

Effective Management for Incidental Detachment of the Pilot Balloon on the Endotracheal Tube: A Case Report: Hyungsun Lim, Ji Seon Son, Hyun Ho Choi, Deokkyu Kim, Jeong Woo Lee, Seonghoon Ko; Korean J Crit Care Med. 2010;25(1):27-29.; DOI: https://doi.org/10.4266/kjccm.2010.25.1.27

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Abstract PDF: A 57-year-old female with lumbar spinal stenosis at L4-S1 was scheduled to undergo posterolateral interbody fusion. Intubation with a 7.0 size ID cuffed reinforced tracheal tube (Mallinckrodt(TM), Mallinckrodt Medical Atholen, Ireland) was uncomplicated, and any air leakage was not detected at that time. Two hours after the start of operation, an air leak was apparent at the trachea during ventilation in the prone position. Closer inspection of the inflation tube and pilot balloon showed that the pilot balloon had become detached. Because she was being operated on in the prone position, and ventilation was only possible at a less than optimal state, we attempted to fix this without having to reintubate the patient's trachea. Our solution involved inserting a 21-gauge needle into the inflation tube and a handheld aneroid manometer was then connected to it. The tube cuff was thereafter inflated up to a pressure of 20 cmH2O. In conclusion, careful manipulation is recommended when performing intubation and a needle connector may help secure the airway if the pilot balloon becomes detached during the procedure.

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