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Volume 35 (1); February 2020
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Review Article
CPR/Resuscitation
Role of extracorporeal cardiopulmonary resuscitation in adults
Hongsun Kim, Yang Hyun Cho
Acute Crit Care. 2020;35(1):1-9.   Published online February 29, 2020
DOI: https://doi.org/10.4266/acc.2020.00080
  • 7,966 View
  • 324 Download
  • 14 Citations
AbstractAbstract PDF
Extracorporeal cardiopulmonary resuscitation (ECPR) has been performed with increasing frequency worldwide to improve the low survival rate of conventional cardiopulmonary resuscitation (CCPR). Several studies have shown that among patients who experience in-hospital cardiac arrest, better survival outcomes and neurological outcomes can be expected after ECPR than after CCPR. However, studies have not clearly shown a short-term survival benefit of ECPR for patients who experience out-of-hospital cardiac arrest. Favorable outcomes are associated with a shorter low-flow time, an initial shockable rhythm, lower serum lactate levels, higher blood pH, and a lower Sequential Organ Failure Assessment score. Indications for ECPR include young age, witnessed arrest with bystander cardiopulmonary resuscitation, an initial shockable rhythm, correctable causes such as a cardiac etiology, and no return of spontaneous circulation within 10–20 minutes of CCPR. ECPR is a complex intervention that requires a highly trained team, specialized equipment, and multidisciplinary support within a healthcare system, and it has the risk of several life-threatening complications. Therefore, physicians should carefully select patients for ECPR who can gain the most benefit, instead of applying ECPR indiscriminately.

Citations

Citations to this article as recorded by  
  • Extended cardiopulmonary resuscitation: from high fidelity simulation scenario to the first clinical applications in Poznan out-of-hospital cardiac arrest program
    Maciej Sip, Mateusz Puslecki, Marek Dabrowski, Tomasz Klosiewicz, Radoslaw Zalewski, Marcin Ligowski, Ewa Goszczynska, Christopher Paprocki, Marek Grygier, Maciej Lesiak, Marek Jemielity, Bartłomiej Perek
    Perfusion.2022; 37(1): 46.     CrossRef
  • Extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest: first results and outcomes of a newly established ECPR program in a large population area
    Ilija Djordjevic, Christopher Gaisendrees, Christoph Adler, Kaveh Eghbalzadeh, Simon Braumann, Borko Ivanov, Julia Merkle, Antje-Christin Deppe, Elmar Kuhn, Robert Stangl, Alex Lechleuthner, Christian Miller, Roman Pfister, Navid Mader, Stephan Baldus, An
    Perfusion.2022; 37(3): 249.     CrossRef
  • Impact of left ventricular unloading using a peripheral Impella®‐pump in eCPR patients
    Christopher Gaisendrees, Ilija Djordjevic, Anton Sabashnikov, Christopher Adler, Kaveh Eghbalzadeh, Borko Ivanov, Sebastian Walter, Georg Schlachtenberger, Julia Merkle‐Storms, Stephen Gerfer, Henning Carstens, Antje‐Christin Deppe, Elmar Kuhn, Thorsten W
    Artificial Organs.2022; 46(3): 451.     CrossRef
  • Vascular complications based on mode of extracorporeal membrane oxygenation
    Juliet Blakeslee-Carter, Connie Shao, Ryan LaGrone, Irina Gonzalez-Sigler, Danielle C. Sutzko, Benjamin Pearce, Kyle Eudailey, Emily Spangler, Adam W. Beck, Graeme E. McFarland
    Journal of Vascular Surgery.2022; 75(6): 2037.     CrossRef
  • Efficacy of a temporary CentriMag ventricular assist device in acute fulminant myocarditis patients revived with extracorporeal cardiopulmonary resuscitation
    Ying-Hsiang Wang, Chien-Sung Tsai, Jia-Lin Chen, Yi-Ting Tsai, Chih-Yuan Lin, Hsiang-Yu Yang, Po-Shun Hsu
    Journal of the Formosan Medical Association.2022; 121(10): 1917.     CrossRef
  • Anticoagulation Strategies during Extracorporeal Membrane Oxygenation: A Narrative Review
    Sasa Rajsic, Robert Breitkopf, Dragana Jadzic, Marina Popovic Krneta, Helmuth Tauber, Benedikt Treml
    Journal of Clinical Medicine.2022; 11(17): 5147.     CrossRef
  • Clinician Perspectives on Cannulation for Extracorporeal Cardiopulmonary Resuscitation: A Mixed Methods Analysis
    Devindi Wanigasekara, Vincent A. Pellegrino, Aidan JC. Burrell, Nyein Aung, Shaun D. Gregory
    ASAIO Journal.2022;[Epub]     CrossRef
  • Outcomes of Pediatric Extracorporeal Cardiopulmonary Resuscitation: A Systematic Review and Meta-Analysis
    Abdelaziz Farhat, Ryan Ruiyang Ling, Christopher L. Jenks, Wynne Hsing Poon, Isabelle Xiaorui Yang, Xilong Li, Yulun Liu, Cindy Darnell-Bowens, Kollengode Ramanathan, Ravi R. Thiagarajan, Lakshmi Raman
    Critical Care Medicine.2021; 49(4): 682.     CrossRef
  • Prediction of successful weaning off ECMO support after ECPR: Is pulse pressure crucial for success?
    Ilija Djordjevic, Thorsten Wahlers
    Journal of Cardiac Surgery.2021; 36(8): 2751.     CrossRef
  • Impact of age on the outcomes of extracorporeal cardiopulmonary resuscitation: analysis using inverse probability of treatment weighting
    Young Su Kim, Yang Hyun Cho, Jeong Hoon Yang, Ji-Hyuk Yang, Suryeun Chung, Gee Young Suh, Kiick Sung
    European Journal of Cardio-Thoracic Surgery.2021; 60(6): 1318.     CrossRef
  • Features of Patients Receiving Extracorporeal Membrane Oxygenation Relative to Cardiogenic Shock Onset: A Single-Centre Experience
    Dong-Geum Shin, Sang-Deock Shin, Donghoon Han, Min-Kyung Kang, Seung-Hun Lee, Jihoon Kim, Jung-Rae Cho, Kunil Kim, Seonghoon Choi, Namho Lee
    Medicina.2021; 57(9): 886.     CrossRef
  • Critical care management of pulmonary arterial hypertension in pregnancy: the pre-, peri- and post-partum stages
    Vorakamol Phoophiboon, Monvasi Pachinburavan, Nicha Ruamsap, Natthawan Sanguanwong, Nattapong Jaimchariyatam
    Acute and Critical Care.2021; 36(4): 286.     CrossRef
  • Brain natriuretic peptide levels predict 6-month mortality in patients with cardiogenic shock who were weaned off extracorporeal membrane oxygenation
    Hyoung Soo Kim, Kyu Jin Lee, Sang Ook Ha, Sang Jin Han, Kyoung-Ha Park, Sun Hee Lee, Yong Il Hwang, Seung Hun Jang, Sunghoon Park
    Medicine.2020; 99(29): e21272.     CrossRef
  • Role and Prognosis of Extracorporeal Life Support in Patients Who Develop Cardiac Arrest during or after Office-Based Cosmetic Surgery
    Seong Soon Kwon, Byoung-Won Park, Min-Ho Lee, Duk Won Bang, Min-Su Hyon, Won-Ho Chang, Hong Chul Oh, Young Woo Park
    The Korean Journal of Thoracic and Cardiovascular Surgery.2020; 53(5): 277.     CrossRef
Original Articles
Trauma
Elixhauser comorbidity measures-based risk factors associated with 30-day mortality in elderly population after femur fracture surgery: a propensity scorematched retrospective case-control study
Dohyung Kim, Hyunmin Jo, Younsuk Lee, Kyoung Ok Kim
Acute Crit Care. 2020;35(1):10-15.   Published online February 29, 2020
DOI: https://doi.org/10.4266/acc.2019.00745
  • 4,437 View
  • 111 Download
  • 3 Citations
AbstractAbstract PDF
Background
As the average life expectancy increases, anesthesiologists confront unique challenges in the perioperative care of elderly patients who have significant comorbidities. In this study, we evaluated Elixhauser comorbidity measures-based risk factors associated with 30day mortality in patients aged 66 years and older who underwent femur fracture surgery. Methods: We used the Medical Information Mart for Intensive Care III which contains the medical records of patients admitted to the intensive care unit (ICU) at Beth Israel Deaconess Medical Center in the United States between 2001 and 2012 to identify patients admitted to the ICU after femur fracture surgery (n=209). Patients who died within 30 days of admission (case group, n=49) were propensity score-matched to patients who did not (control group, n=98). The variables for matching were age, sex, race, anemia (hemoglobin ≤10 g/dl), and malignancy. We attempted to explain mortality via nine independent factors: hypertension, uncomplicated diabetes, complicated diabetes, congestive heart failure (CHF), cardiac arrhythmias, chronic pulmonary disease, renal failure, neurological disorders other than paralysis, and peripheral vascular disease. Results: Logistic regression identified three significant risk factors: CHF, arrhythmias, and neurological disorders other than paralysis. The odds ratio (OR) for the 30-day mortality of CHF was 4.99 (95% confidence interval [CI], 2.18 to 12.06). The equivalent ORs for cardiac arrhythmias and neurological disorders other than paralysis were 2.61 (95% CI, 1.14 to 6.21) and 2.40 (95% CI, 0.95 to 6.48), respectively. Conclusions: Identifying patients with these risk factors (CHF, arrhythmias, and neurological disorders other than paralysis) will assist clinicians with perioperative planning and provide caregivers with valuable information for decision-making.

Citations

Citations to this article as recorded by  
  • How age and gender influence proximal humerus fracture management in patients older than fifty years
    Akshar H. Patel, J. Heath Wilder, Sione A. Ofa, Olivia C. Lee, Michael C. Iloanya, Felix H. Savoie, William F. Sherman
    JSES International.2022; 6(2): 253.     CrossRef
  • A machine learning-based prediction model for in-hospital mortality among critically ill patients with hip fracture: An internal and external validated study
    Mingxing Lei, Zhencan Han, Shengjie Wang, Tao Han, Shenyun Fang, Feng Lin, Tianlong Huang
    Injury.2022;[Epub]     CrossRef
  • Comorbidity indices in orthopaedic surgery: a narrative review focused on hip and knee arthroplasty
    SaTia T. Sinclair, Ahmed K. Emara, Melissa N. Orr, Kara M. McConaghy, Alison K. Klika, Nicolas S. Piuzzi
    EFORT Open Reviews.2021; 6(8): 629.     CrossRef
Rapid response system
Utilization of a rapid response team and associated outcomes in patients with malignancy
Jongmin Lee, Woo Ho Ban, Sei Won Kim, Eun Young Kim, Mi Ra Han, Seok Chan Kim
Acute Crit Care. 2020;35(1):16-23.   Published online February 29, 2020
DOI: https://doi.org/10.4266/acc.2019.00675
  • 3,721 View
  • 117 Download
  • 5 Citations
AbstractAbstract PDF
Background
Recent advances in diagnosis and treatment have improved long-term outcomes in cancer patients. As a result, the requirement for a rapid response team (RRT) for cancer patients is also increasing. This study aimed to analyze utilization of an RRT and the associations between related factors and mortality in a population of cancer patients. Methods: This retrospective cohort study included hospitalized patients at a single academic medical center in Seoul, Korea, who required RRT activation during a 6-year period from June 2013 to December 2018. Results: Overall, 164 of the 457 patients who met the above criteria were cancer patients, and they had a significantly higher Charlson comorbidity score than the non-cancer patients (5.0 vs. 7.0, P<0.001). A significantly larger proportion of cancer patients required intensive care unit transfer (51.8% vs. 41.0%, P=0.032). Cancer patients also had significantly higher in-hospital mortality compared with other patients (39.6% vs. 10.9%, P<0.001). Furthermore, presence of cancer was independently associated with in-hospital mortality (adjusted odds ratio [OR], 2.09; 95% confidence interval [CI], 1.11 to 3.93). Among cancer patients, higher Acute Physiology and Chronic Health Evaluation (APACHE) II at the time of RRT activation was significantly associated with in-hospital mortality regardless of malignancy (adjusted OR, 1.08; 95% CI, 1.01 to 1.15). Conclusions: Cancer patients requiring RRT activation have significantly higher rates of inhospital mortality than patients not using RRT. Higher severity score at the time of RRT activation in patients with malignancy was significantly associated with in-hospital mortality.

Citations

Citations to this article as recorded by  
  • Characteristics and outcomes of patients screened by rapid response team who transferred to the intensive care unit
    Song-I. Lee, Jeong Suk Koh, Yoon Joo Kim, Da Hyun Kang, Jeong Eun Lee
    BMC Emergency Medicine.2022;[Epub]     CrossRef
  • Characteristics and Prognosis of Hospitalized Patients at High Risk of Deterioration Identified by the Rapid Response System: a Multicenter Cohort Study
    Sang Hyuk Kim, Ji Young Hong, Youlim Kim
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Novel Adaptive T-Cell Oncological Treatments Lead to New Challenges for Medical Emergency Teams: A 2-Year Experience From a Tertiary-Care Hospital in Switzerland
    Anna Sarah Messmer, Yok-Ai Que, Christoph Schankin, Yara Banz, Ulrike Bacher, Urban Novak, Thomas Pabst
    Critical Care Explorations.2021; 3(10): e0552.     CrossRef
  • Outcomes of second-tier rapid response activations in a tertiary referral hospital: A prospective observational study
    Ken Junyang Goh, Hui Zhong Chai, Lit Soo Ng, Joanna Phone Ko, Deshawn Chong Xuan Tan, Hui Li Tan, Constance Wei-Shan Teo, Ghee Chee Phua, Qiao Li Tan
    Annals of the Academy of Medicine, Singapore.2021; 50(11): 838.     CrossRef
  • Effectiveness of Rapid Response Team on In-hospital Mortality in Patients with Hematologic Malignancy
    So-Jung Park, Sang-Bum Hong, Chae-Man Lim, Youn-Suck Koh, Jin-Won Huh
    Quality Improvement in Health Care.2021; 27(2): 18.     CrossRef
Liver
The role of bilirubin to albumin ratio as a predictor for mortality in critically ill patients without existing liver or biliary tract disease
Ji Soo Choi, Kyung Soo Chung, Eun Hye Lee, Su Hwan Lee, Sang Hoon Lee, Song Yee Kim, Ji Ye Jung, Young Ae Kang, Moo Suk Park, Young Sam Kim, Joon Chang, Ah Young Leem
Acute Crit Care. 2020;35(1):24-30.   Published online February 29, 2020
DOI: https://doi.org/10.4266/acc.2019.00738
  • 4,560 View
  • 119 Download
  • 2 Citations
AbstractAbstract PDF
Background
Hyperbilirubinemia and hypoalbuminemia are frequently appeared and associated with poor prognosis in critically ill patients. We aim to evaluate the association between the bilirubin to albumin ratio and prognosis in intensive care unit (ICU) patients. Methods: This was a retrospective study of 731 patients who were admitted to the medical intensive care unit (MICU) at a tertiary-care center from July 2015 to September 2017. We analyzed the bilirubin to albumin ratio on admission to the MICU, including clinical characteristics and other examinations. Results: The overall 28-day survival of MICU patients was 69.1%. On univariate analysis, Acute Physiology and Chronic Health Evaluation (APACHE) II score (P<0.001), Sequential Organ Failure Assessment score (P<0.001), Simplified Acute Physiology Score II score (P<0.001), Creactive protein (P=0.015), and bilirubin/albumin ratio (P<0.001) were associated with mortality of ICU patients. The receiver operating characteristic curves for ICU patients mortality between bilirubin to albumin ratio and APACHE II score were not statistically significant (P=0.282). On multivariate analysis, higher APACHE II score (hazard ratio [HR], 1.05; 95% CI, 1.03 to 1.06; P<0.001) and bilirubin to albumin ratio (HR, 1.65; 95% CI, 1.23 to 2.20; P=0.001) were independently related to the ICU patient mortality. Conclusions: A higher bilirubin to albumin ratio was related to the unfavorable prognosis and mortality in critically ill patients.

Citations

Citations to this article as recorded by  
  • Role of serum bilirubin-to-albumin ratio as a prognostic index in critically ill children
    You Min Kang, Ga Eun Kim, Mireu Park, Jong Deok Kim, Min Jung Kim, Yoon Hee Kim, Kyung Won Kim, Myung Hyun Son, Soo Yeon Kim
    Clinical and Experimental Pediatrics.2022;[Epub]     CrossRef
  • Hepatic dysfunction in critically ill patients
    Jeong Hoon Yang
    Acute and Critical Care.2020; 35(1): 44.     CrossRef
Surgery
Outcomes of bedside peripherally inserted central catheter placement: a retrospective study at a single institution
Sukyung Kwon, Soo mi Son, Seul Hee Lee, Joung Hee Kim, Hyangkyoung Kim, Jang Yong Kim, Ji Il Kim, In Sung Moon
Acute Crit Care. 2020;35(1):31-37.   Published online February 11, 2020
DOI: https://doi.org/10.4266/acc.2019.00731
  • 4,557 View
  • 176 Download
  • 9 Citations
AbstractAbstract PDF
Background
Bedside insertion of peripherally inserted central catheters (PICCs) has higher rates of malposition than fluoroscopic-guided PICC placement. This study evaluated the success rate of bedside PICC placement, variations in tip location, and risk factors for malposition. Methods: This retrospective study included patients who underwent bedside PICC placement from January 2013 to September 2014 in a single institution. The procedure was conducted under ultrasound guidance or by a blind method. After PICC placement, tip location was determined by chest X-ray. Results: The overall venous access success rate with bedside PICC placement was 98.1% (1,302/ 1,327). There was no significant difference in the venous access success rate between ultrasound-guided placement (868/880, 98.6%) and a blind approach placement (434/447, 97.1%). Optimal tip position was achieved on the first attempt in 1,192 cases (91.6%). Repositioning was attempted in 65 patients; 60 PICCs were repositioned at the bedside, two PICCs were repositioned under fluoroscopic guidance, and three PICCs moved to the desired position without intervention. Final optimal tip position after repositioning was achieved in 1,229 (94.4%). In logistic regression analysis, five factors associated with tip malposition included female sex (Exp(B), 1.687; 95% confidence interval [CI], 1.180 to 2.412; P=0.004), older age (Exp(B), 1.026; 95% CI, 1.012 to 1.039; P<0.001), cancer (Exp(B), 0.650; 95% CI, 0.455 to 0.929; P=0.018), lung disease (Exp(B), 2.416; 95% CI, 1.592 to 3.666; P<0.001), and previous catheter insertions (Exp(B), 1.262; 95% CI, 1.126 to 1.414; P<0.001). Conclusions: Bedside PICC placement without fluoroscopy is effective and safe in central venous catheters. Potential risk factors associated with catheter tip malposition include older age, female sex, cancer, pulmonary disease, and previous central vein catheterizations.

Citations

Citations to this article as recorded by  
  • Guidewire-Assisted Reduction Technology Combined with Postural Reduction Improves the Success Rate of Internal Vein Catheterisation
    Feng-Xian Li, Yan-Ping Li, Hong-Yang Zhang, Mei-Jing Tian, Huan-Huan Gao, Gui-Juan Zhang, Peng Su, Daniel Espino
    Journal of Healthcare Engineering.2022; 2022: 1.     CrossRef
  • Therapeutic Effect of Ultrasound-Guided Peripherally Inserted Central Catheter Combined with Predictive Nursing in Patients with Large-Area Severe Burns
    Baiyan He, Aiqiong Zhang, Shuting He, Pan Zheng
    Computational and Mathematical Methods in Medicine.2022; 2022: 1.     CrossRef
  • Bedside peripherally inserted central catheter placement: focus on the procedure
    Dong Hun Kim
    Trauma Image and Procedure.2022; 7(1): 21.     CrossRef
  • Validation of the PICC length prediction formula based on anteroposterior chest radiographs for bedside ultrasound-guided placement
    Youngjong Cho, Sangjoon Lee, Sung-Joon Park, Hyoung Nam Lee, Hwan Hoon Chung, Robert Jeenchen Chen
    PLOS ONE.2022; 17(11): e0277526.     CrossRef
  • Feasibility of Peripherally Inserted Central Catheter Placement in COVID-19 Patients Isolated in the Intensive Care Unit of a Small Volume Center (291-Bed Hospital)
    Min Chang Kang, Kyungwon Lee
    Journal of Acute Care Surgery.2022; 12(3): 125.     CrossRef
  • Prevalence of complications associated with the use of a peripherally inserted central catheter in newborns: A systematic review protocol
    Edienne Rosângela Sarmento Diniz, Kleyton Santos de Medeiros, Richardson Augusto Rosendo da Silva, Ricardo Ney Cobucci, Angelo Giuseppe Roncalli, Raffaele Serra
    PLOS ONE.2021; 16(7): e0255090.     CrossRef
  • Ultrasound-guided insertion of peripherally inserted central catheter after anesthetic induction in children undergoing surgery for moyamoya disease - Thirty cases report-
    Sang-Hwan Ji, Sol Ji Yoo, Sung-Ae Cho, Young-Eun Jang, Eun-Hee Kim, Ji-Hyun Lee, Jin-Tae Kim, Hee-Soo Kim
    Anesthesia and Pain Medicine.2021; 16(3): 273.     CrossRef
  • Comparing the accuracy and complications of peripherally inserted central catheter (PICC) placement using fluoroscopic and the blind pushing technique
    Brendan Erskine, Pierre Bradley, Tim Joseph, Sabrina Yeh, Warren Clements
    Journal of Medical Radiation Sciences.2021; 68(4): 349.     CrossRef
  • Pneumothorax as a rare complication of peripherally inserted central catheter (PICC) in neonates: A case report study
    Rasoul Goli, Sina Zafarmokhtarian, Mahmoodreza Ghalandari, Navid Babakeshi-sheytanabad, Sajjad Rostami, Hossna Farajollahi
    International Journal of Surgery Case Reports.2021; 88: 106472.     CrossRef
Pharmacology
Comparison of the efficacy of an infusion pump or standard IV push injection to deliver naloxone in treatment of opioid toxicity
Bita Dadpour, Maryam Vahabzadeh, Babak Mostafazadeh
Acute Crit Care. 2020;35(1):38-43.   Published online February 29, 2020
DOI: https://doi.org/10.4266/acc.2020.00010
  • 4,901 View
  • 125 Download
  • 3 Citations
AbstractAbstract PDF
Background
The optimal goal of naloxone infusion in intensive care units is to ameliorate opioid-induced side effects in therapy or eliminate the symptoms of opioid toxicity in overdoses. Accurately monitoring and regulating the doses is critical to prevent adverse effects related to naloxone administration. The present study aimed to compare treatment outcomes when using two methods of intravenous naloxone infusion: an infusion pump or the standard method. Methods: This study involved 80 patients with signs and symptoms of opioid overdose. The patients were randomly assigned into two groups with respect to intravenous infusion of naloxone by either an infusion pump or the standard method. Results: Comparison of study parameters between the two groups at 12 and 24 hours after intervention showed significantly more compensatory acid-base imbalance in the naloxone infusion pump group. In the group that received naloxone by pump, only one patient experienced withdrawal symptoms, but withdrawal symptoms appeared in 12 patients (30.0%) in the standard intravenous infusion group within 12 hours and in seven additional patients (17.5%) within 24 hours of intervention. In the group receiving pump-based naloxone infusion therapy, no another complications were reported; however in the standard infusion group, the 12-hour and 24-hour complication rates were 55.0% and 32.5%, respectively. The length of hospital stay was 2.85±1.05 and 4.22±0.92 days for the pump and standard infusion groups, respectively (P<0.001). Conclusions: Naloxone infusion using an infusion pump may be safer with regard to hemodynamic stability, resulting in shorter hospitalization periods, and fewer posttreatment complications.

Citations

Citations to this article as recorded by  
  • Endogenous opiates and behavior: 2020
    Richard J. Bodnar
    Peptides.2022; 151: 170752.     CrossRef
  • Are opioid receptor antagonists adequate for “Opioid” overdose in a changing reality?
    John F. Peppin, Joseph V. Pergolizzi, Albert Dahan, Robert B. Raffa
    Journal of Clinical Pharmacy and Therapeutics.2021; 46(4): 861.     CrossRef
  • The Efficacy, Safety, and Convenience of a New Device for Flushing Intravenous Catheters (Baro Flush™): A Prospective Study
    Youn I. Choi, Jae Hee Cho, Jun-Won Chung, Kyoung Oh Kim, Kwang An Kwon, Han Yong Chun, Dong Kyun Park, Yoon Jae Kim
    Medicina.2020; 56(8): 393.     CrossRef
Editorial
Hepatic dysfunction in critically ill patients
Jeong Hoon Yang
Acute Crit Care. 2020;35(1):44-45.   Published online February 29, 2020
DOI: https://doi.org/10.4266/acc.2020.00052
  • 3,423 View
  • 130 Download
PDF
Case Reports
Rapid response system
Successful percutaneous coronary intervention with extracorporeal membrane oxygenation support after right coronary artery dissection in an eisenmenger syndrome patient
Byung Gyu Kim, Sung Woo Cho, Jong Chun Nah
Acute Crit Care. 2020;35(1):46-50.   Published online November 6, 2018
DOI: https://doi.org/10.4266/acc.2017.00024
  • 9,468 View
  • 103 Download
  • 2 Citations
AbstractAbstract PDF
The presentation of coronary artery disease in a patient with Eisenmenger syndrome (ES) is relatively rare. Cardiogenic shock due to coronary artery dissection during percutaneous coronary intervention (PCI) can be more critical in these patients. Here, we report a case of successful PCI under mechanical circulation support in a patient with ES who experienced potentially fatal right coronary artery dissection. This case emphasizes that use of extracorporeal membrane oxygenation (ECMO) can lead to successful management of critical complication during PCI, and that the immediate decision to apply of ECMO is important in ES patients who face impending cardiogenic shock with acute heart failure.

Citations

Citations to this article as recorded by  
  • Blunt traumatic right coronary artery dissection presenting with second-degree atrioventricular block and late-onset severe cardiogenic shock
    Maria Paparoupa, Lenard Conradi, Malte Lennart Warncke, Lennart Well, Christoph Burdelski, Christopher Cramer, Hanno Grahn, Mathias Kubik, Stefan Kluge
    BMC Cardiovascular Disorders.2022;[Epub]     CrossRef
  • Successful Implementation of Extracorporeal Membrane Oxygenation Support as a Bridge to Heart-Lung Transplantation in an Eisenmenger’s Syndrome Patient With Paradoxical Coronary Embolism
    James Zhang, Sumit Patel, Leonardo Clavijo, David Laughrun
    Journal of Investigative Medicine High Impact Case Reports.2019; 7: 232470961984657.     CrossRef
Cardiology
Extracorporeal membrane oxygenation for takotsubo cardiomyopathy that developed after mitral valve replacement
Jeong-Hyun Choi, In Duk Oh, Eunsil Shin, Sangho Lee, Jong-Mi Jeon, Hyung-Tak Kim, Hyo-Chul Youn
Acute Crit Care. 2020;35(1):51-55.   Published online April 12, 2019
DOI: https://doi.org/10.4266/acc.2018.00304
  • 8,110 View
  • 118 Download
  • 5 Citations
AbstractAbstract PDF
Takotsubo cardiomyopathy is a transient systolic and diastolic left ventricular dysfunction that presents several wall-motion abnormalities, while the coronary artery shows normal findings. Because patients with Takotsubo cardiomyopathy present with symptoms similar to acute coronary syndrome, the initial diagnosis and treatment are often difficult. The condition is often precipitated by acute emotional or physical stress and frequently occurs in postmenopausal women. Takotsubo cardiomyopathy may also occur in the perioperative period after cardiac and noncardiac surgery; surgery-associated Takotsubo cardiomyopathy reportedly accounts for 3%–23% of all cases. Of these perioperative cases, cardiothoracic surgery accounted for 16%. However, few cases have been reported in patients undergoing cardiac surgery and managed with extracorporeal membrane oxygenation (ECMO). We report a case of Takotsubo cardiomyopathy managed with ECMO in a patient in the intensive care unit after mitral valve replacement.

Citations

Citations to this article as recorded by  
  • Takotsubo cardiomyopathy after cardiac surgery: A case-series and systematic review of literature
    Driss Laghlam, Olivier Touboul, Morgane Herry, Philippe Estagnasié, Jean-Claude Dib, Mohamed Baccouche, Alain Brusset, Lee S. Nguyen, Pierre Squara
    Frontiers in Cardiovascular Medicine.2023;[Epub]     CrossRef
  • Stress-Induced (Takotsubo) Cardiomyopathy After Liver Transplant Rescued with Venoarterial Extracorporeal Membrane Oxygenation
    Giorgio Caturegli, Matthew A. Crane, Eric Etchill, Kate Giuliano, Michelle Nguyen, Benjamin Philosophe, Sung-Min Cho, Ilan S. Wittstein, Glenn J.R. Whitman
    ASAIO Journal.2022; 68(4): e66.     CrossRef
  • Stress cardiomyopathy in critical care: A case series of 109 patients
    Parth Pancholi, Nader Emami, Melissa J Fazzari, Sumit Kapoor
    World Journal of Critical Care Medicine.2022; 11(3): 149.     CrossRef
  • A Case of Takotsubo Cardiomyopathy with ST Elevation during Total Arch Replacement
    Kyoko Hayashida, Shinsuke Masuda, Kazuki Morimoto
    Japanese Journal of Cardiovascular Surgery.2022; 51(5): 308.     CrossRef
  • Risk factors for Takotsubo syndrome following cardiac surgery: A case–control study
    Yun Seok Kim, Ju Yong Lim
    Journal of Cardiac Surgery.2021; 36(8): 2767.     CrossRef
Corrigendum
Trauma
Risk factor, monitoring, and treatment for snakebite induced coagulopathy: a multicenter retrospective study
Yong Jun Jeon, Jong Wan Kim, SungGil Park, Dong Woo Shin
Acute Crit Care. 2020;35(1):56-56.   Published online February 29, 2020
DOI: https://doi.org/10.4266/acc.2019.00591.e1
Corrects: Acute Crit Care 2019;34(4):269
  • 2,929 View
  • 77 Download
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ACC : Acute and Critical Care