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Erratum
Surgery
Erratum to "Adjuvant intravenous immunoglobulin administration on postoperative critically ill patients with secondary peritonitis: a retrospective study"
Young Un Choi, Jun Gi Kim, Ji Young Jang, Tae Hwa Go, Kwangmin Kim, Keum Seok Bae, Hongjin Shim
Acute Crit Care. 2023;38(2):250-250.   Published online May 25, 2023
DOI: https://doi.org/10.4266/acc.2022.01515.e1
Corrects: Acute Crit Care 2023;38(1):21
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  • 46 Download
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Original Articles
Surgery
Adjuvant intravenous immunoglobulin administration on postoperative critically ill patients with secondary peritonitis: a retrospective study
Young Un Choi, Jun Gi Kim, Ji Young Jang, Tae Hwa Go, Kwangmin Kim, Keum Seok Bae, Hongjin Shim
Acute Crit Care. 2023;38(1):21-30.   Published online February 27, 2023
DOI: https://doi.org/10.4266/acc.2022.01515
Correction in: Acute Crit Care 2023;38(2):250
  • 2,615 View
  • 121 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract PDF
Background
The use of intravenous immunoglobulin (IVIG) in sepsis patients from bowel perforation is still debatable. However, few studies have evaluated the effect of IVIG as an adjuvant therapy after source control. This study aimed to analyze the effect of IVIG in critically ill patients who underwent surgery due to secondary peritonitis.
Methods
In total, 646 medical records of surgical patients who were treated for secondary peritonitis were retrospectively analyzed. IVIG use, initial clinical data, and changes in Sequential Organ Failure Assessment (SOFA) score over the 7-day admission in the intensive care unit for sepsis check, base excess, and delta neutrophil index (DNI) were analyzed. Mortalities and periodic profiles were assessed. Propensity scoring matching as comparative analysis was performed in the IVIG group and non-IVIG group.
Results
General characteristics were not different between the two groups. The survival curve did not show a significantly reduced mortality in the IVIG. Moreover, the IVIG group did not have a lower risk ratio for mortality than the non-IVIG group. However, when the DNI were compared during the first 7 days, the reduction rate in the IVIG group was statistically faster than in the non-IVIG group (P<0.01).
Conclusions
The use of IVIG was significantly associated with faster decrease in DNI which means faster reduction of inflammation. Since the immune system is rapidly activated, the additional use of IVIG after source control surgery in abdominal sepsis patients, especially those with immunocompromised patients can be considered. However, furthermore clinical studies are needed.

Citations

Citations to this article as recorded by  
  • USING INTRAVENOUS IMMUNOGLOBULIN IN A PATIENT WITH SEPTIC SHOCK AND MULTIPLE COMORBIDITIES: A REVIEW BASED ON A CLINICAL CASE
    Nataliya Matolynets, Jacek Rolinski, Khrystyna Lishchuk-Yakymovych, Yaroslav Tolstyak
    Proceeding of the Shevchenko Scientific Society. Medical Sciences.2023;[Epub]     CrossRef
Trauma
Determination of risk factors associated with surgical site infection in patients undergoing preperitoneal pelvic packing for unstable pelvic fracture
Kang Min Kim, Myoung Jun Kim, Jae Sik Chung, Ji Wool Ko, Young Un Choi, Hongjin Shim, Ji Young Jang, Keum Seok Bae, Kwangmin Kim
Acute Crit Care. 2022;37(2):247-255.   Published online April 22, 2022
DOI: https://doi.org/10.4266/acc.2021.01396
  • 3,695 View
  • 214 Download
  • 5 Web of Science
  • 6 Crossref
AbstractAbstract PDF
Background
Several recent studies have shown that preperitoneal pelvic packing (PPP) effectively produces hemostasis in patients with unstable pelvic fractures. However, few studies have examined the rate of surgical site infections (SSIs) in patients undergoing PPP following an unstable pelvic fracture. The purpose of the present study was to evaluate factors associated with SSI in such patients.
Methods
We retrospectively reviewed the medical charts of 188 patients who developed hemorrhagic shock due to pelvic fracture between April 2012 and May 2021. Forty-four patients were enrolled in this study.
Results
SSI occurred in 15 of 44 patients (34.1%). The SSIs occurred more frequently in cases of repacking during the second-look surgery (0 vs. 4 [26.7%], P=0.010) and combined bladder-urethra injury (1 [3.4%] vs. 4 [26.7%], P=0.039). The incidence of SSIs was not significantly different between patients undergoing depacking within or after 48 hours (12 [41.4%] vs. 5 [33.3%], P=0.603). The mean time to diagnosis of SSI was 8.1±3.9 days from PPP. The most isolated organism was Staphylococcus epidermidis.
Conclusions
Repacking and combined bladder-urethra injury are potential risk factors for SSI in patients with unstable pelvic fracture. Close observation is recommended for up to 8 days in patients with these risk factors. Further, 48 hours after PPP, removing the packed gauze on cessation of bleeding and not performing repacking can help prevent SSI. Additional analyses are necessary with a larger number of patients with the potential risk factors identified in this study.

Citations

Citations to this article as recorded by  
  • Angioembolization Has Similar Efficacy and Lower Total Charges than Preperitoneal Pelvic Packing in Patients With Pelvic Ring or Acetabulum Fractures
    Aaron Singh, Travis Kotzur, Ezekial Koslosky, Rishi Gonuguntla, Lorenzo Canseco, David Momtaz, Ali Seifi, Case Martin
    Journal of Orthopaedic Trauma.2024; 38(5): 254.     CrossRef
  • Factors Associated With Pelvic Infection After Pre-Peritoneal Pelvic Packing for Hemodynamically Unstable Pelvic Fractures
    Jennifer E. Baker, Husayn A. Ladhani, Caitlyn McCall, Chelsea R. Horwood, Nicole L. Werner, Barry Platnick, Clay Cothren Burlew
    Surgical Infections.2024; 25(5): 399.     CrossRef
  • Comparison of Conventional versus Modified Preperitoneal Pelvic Packing in Patients with Bleeding Pelvic Fractures: A Single-Center Retrospective Pilot Study
    Sebeom Jeon, Byungchul Yu, Gil Jae Lee, Min A Lee, Jungnam Lee, Kang Kook Choi
    Journal of Clinical Medicine.2024; 13(14): 4062.     CrossRef
  • Current Management of Hemodynamically Unstable Patients with Pelvic Fracture
    Kevin Harrell, Chelsea Horwood, Clay Cothren Burlew
    Current Surgery Reports.2023; 11(4): 92.     CrossRef
  • Open Fixation After Preperitoneal Pelvic Packing Is Associated With a High Surgical Site Infection Rate
    Ye Joon Kim, Bryan L. Scott, Fredric M. Pieracci, Ernest E. Moore, Cyril Mauffrey, Joshua A. Parry
    Journal of Orthopaedic Trauma.2023; 37(11): 547.     CrossRef
  • Extraperitoneal pelvic packing in trauma – a review
    Sajad Ahmad Salati
    Polish Journal of Surgery.2022; 95(3): 46.     CrossRef
Nutrition
Effectiveness of a multidisciplinary team for nutrition support in a trauma intensive care unit
Eunsuk Oh, Hongjin Shim, Hyon Ju Yon, Jin Sil Moon, Dae Ryong Kang, Ji Young Jang
Acute Crit Care. 2020;35(3):142-148.   Published online August 19, 2020
DOI: https://doi.org/10.4266/acc.2020.00318
  • 6,557 View
  • 191 Download
  • 10 Web of Science
  • 14 Crossref
AbstractAbstract PDF
Background
We evaluated clinical and nutritional outcomes according to multidisciplinary team involvement in nutrition support in a regional trauma intensive care unit (TICU).
Methods
We retrospectively compared the outcomes for 339 patients admitted to the TICU for >5 days depending on nutrition support team (NST) involvement (n=176) and non-NST involvement (n=163).
Results
The mean age and injury severity score (ISS) were 57.3±16.7 years and 18.6±9.7, respectively. Fifty-three patients (15.6%) had shock on admission and 182 (53.7%) underwent surgery during TICU admission. Some patients were admitted to neurosurgery (46%), general surgery (35.4%), and other (18.6%) departments. There were significant differences in the ISS, Acute Physiology and Chronic Health Evaluation (APACHE) II score, shock on TICU admission, and initial laboratory results. After propensity score matching, the total delivered/required caloric ratio and total delivered/required protein ratio were significantly higher in the NST group than in the non-NST group (calorie: 80.4% vs. 66.7%, P=0.007; protein: 93.1% vs. 68.3%, P<0.001). The NST group had an adequate protein supply more frequently than the non-NST group (protein: 48.0% vs. 25.8%, P=0.002). There was no significant difference in survival, even after adjustment for risk factors using Cox proportional hazard analysis.
Conclusions
The results of our study suggest that multidisciplinary team involvement in nutrition support in TICU patients may improve nutritional, but not clinical, outcomes.

Citations

Citations to this article as recorded by  
  • Impact of a multidisciplinary collaborative nutritional treatment model in patients who are critically ill with neurological disorders: A randomized controlled trial
    Bao-Di Gu, Yun Wang, Rong Ding
    Technology and Health Care.2024; 32(3): 1767.     CrossRef
  • Implementation of a multidisciplinary nutritional support team and clinical outcomes in critically ill patients with COVID-19
    In-Ae Song, Kyunghwa Lee, Sunghee Lee, Keonhee Kim, Tak Kyu Oh
    Clinical Nutrition.2024; 43(2): 315.     CrossRef
  • Nutrition support teams: Institution, evolution, and innovation
    Albert Barrocas, Denise Baird Schwartz, Bruce R. Bistrian, Peggi Guenter, Charles Mueller, Ronni Chernoff, Jeanette M. Hasse
    Nutrition in Clinical Practice.2023; 38(1): 10.     CrossRef
  • Multidisciplinary Difficult Airway Team Characteristics, Airway Securement Success, and Clinical Outcomes: A Systematic Review
    Vinciya Pandian, Talha U. Ghazi, Marielle Qiaoshu He, Ergest Isak, Abdulmalik Saleem, Lindsay R. Semler, Emily C. Capellari, Michael J. Brenner
    Annals of Otology, Rhinology & Laryngology.2023; 132(8): 938.     CrossRef
  • Nutrition Therapy by Nutrition Support Team: A Comparison of Multi-Chamber Bag and Customized Parenteral Nutrition in Hospitalized Patients
    Seunghyun Cheon, Sang-Hyeon Oh, Jung-Tae Kim, Han-Gon Choi, Hyojung Park, Jee-Eun Chung
    Nutrients.2023; 15(11): 2531.     CrossRef
  • Consultation pattern changes of parenteral nutrition with a multidisciplinary nutrition support team in a recently opened hospital in Korea: a retrospective cohort study
    Kyoung Won Yoon, Hyo Jin Kim, Yujeong Im, Seul Gi Nam, Joo Yeon Lee, Hyo Gee Lee, Joong-Min Park
    Annals of Clinical Nutrition and Metabolism.2023; 15(2): 57.     CrossRef
  • Lipid emulsion treatment of cardiotoxicity caused by calcium channel blocker and beta-blocker
    Ju-Tae Sohn
    The American Journal of Emergency Medicine.2022; 58: 331.     CrossRef
  • Physician Compliance with Nutrition Support Team Recommendations: Effects on the Outcome of Treatment for Critically Ill Patients
    Hyon-Ju Yon, Eun-Suk Oh, Ji Young Jang, Ji Yun Jang, Hongjin Shim
    Journal of Acute Care Surgery.2022; 12(1): 1.     CrossRef
  • Nutritional Status of Intensive Care Unit Patients According to the Referral to the Nutrition Support Team and Compliance with the Recommendations
    Yunjin Sohn, Taisun Hyun
    Korean Journal of Community Nutrition.2022; 27(2): 121.     CrossRef
  • Lipid emulsion dosage used for resuscitation after drug toxicity
    Ju-Tae Sohn
    The American Journal of Emergency Medicine.2022; 59: 168.     CrossRef
  • Intensive care management of traumatic brain injury: How can mnemonics help?
    Biljana Damnjanović, Jovana Stanisavljević, Adi Hadžibegović, Ivan Rović, Đuro Šijan, Nemanja Jovanović, Sanja Ratković, Marija Milenković
    Serbian Journal of Anesthesia and Intensive Therapy.2022; 44(5-6): 105.     CrossRef
  • 救急・集中治療領域 重症患者における栄養管理
    信人 中西, 穣治 小谷
    The Japanese Journal of SURGICAL METABOLISM and NUTRITION.2022; 56(6): 229.     CrossRef
  • Urinary Titin N-Fragment as a Biomarker of Muscle Atrophy, Intensive Care Unit-Acquired Weakness, and Possible Application for Post-Intensive Care Syndrome
    Nobuto Nakanishi, Rie Tsutsumi, Kanako Hara, Masafumi Matsuo, Hiroshi Sakaue, Jun Oto
    Journal of Clinical Medicine.2021; 10(4): 614.     CrossRef
  • Lack of evidence for a nutritional support team in a trauma intensive care unit?
    Jae Hwa Cho
    Acute and Critical Care.2020; 35(3): 205.     CrossRef
Image in Critical Care
Trauma
Trauma-Induced Retroperitoneal Paraganglioma Rupture Which Was Misunderstood as a Massive Retroperitoneal Hemorrhage
Hongjin Shim, Ji Young Jang, Yeong Ju Kim, Jung Soo Lim, Keum Seok Bae
Acute Crit Care. 2018;33(2):114-116.   Published online April 26, 2018
DOI: https://doi.org/10.4266/acc.2017.00234
  • 5,586 View
  • 92 Download
  • 2 Web of Science
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Citations

Citations to this article as recorded by  
  • Acute haemoperitoneum caused by ruptured extra‐adrenal paraganglioma
    Jae Im Lee, Su Lim Lee, Kyung Jin Seo
    ANZ Journal of Surgery.2021;[Epub]     CrossRef
  • Laparoscopic resection of a ruptured retroperitoneal paraganglioma
    Shogo Zuo, Toshio Sawai, Hiromichi Kanehiro, Yasuhiro Kuroda, Masayuki Sho
    Journal of Pediatric Surgery Case Reports.2020; 59: 101522.     CrossRef
Case Report
Neurosurgery
Delayed Traumatic Subarachnoid Hemorrhage in a Polytraumatized Patient with Disseminated Intravascular Coagulation
Jiwoong Oh, Wonyeon Lee, Ji Young Jang, Pilyoung Jung, Sohyun Kim, Jongyeon Kim, Jinsu Pyen, Kum Whang, Sungmin Cho
Korean J Crit Care Med. 2015;30(4):336-342.   Published online November 30, 2015
DOI: https://doi.org/10.4266/kjccm.2015.30.4.336
  • 9,339 View
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AbstractAbstract PDF
The precise mechanism involved in DIC and delayed traumatic subarachnoid hemorrhage (DT-SAH) remains unclear in multipletrauma patients. Hereby, we describe a polytraumatized patient with DIC who died due to DT-SAH. A 75-year-old female patient was admitted to our Emergency Department complaining of abdominal pain and drowsiness after a pedestrian accident. Her initial brain computerized tomography (CT) finding was negative for intracranial injury. However, her abdominal CT scan revealed a collection of retroperitoneal hematomas from internal iliac artery bleeding after a compressive pelvic fracture. This event eventually resulted in shock and DIC. An immediate angiographic embolization of the bleeding artery was performed along with transfusion and antithrombin III. Her vital signs were stabilized without neurological change. Fourteen hours after admission, she suddenly became comatose, and her follow-up brain CT scan revealed a dense DT-SAH along the basal cisterns with acute hydrocephalus. This event rapidly prompted brain CT angiography and digital subtraction angiography, which both confirmed the absence of any cerebrovascular abnormality. Despite emergency extraventricular drainage to reverse the hydrocephalus, the patient died three days after the trauma. This paper presents an unusual case of DT-SAH in a polytraumatized patient with DIC.

Citations

Citations to this article as recorded by  
  • Is initial optic nerve sheath diameter prognostic of specific head injury in emergency departments?
    Bedriye Müge Sönmez, Emirhan Temel, Murat Doğan İşcanlı, Fevzi Yılmaz, Uğur Gülöksüz, Selçuk Parlak, Özhan Merzuk Uçkun
    Journal of the National Medical Association.2019; 111(2): 210.     CrossRef
Original Article
Clinical Significance of Postoperative Prealbumin and Albumin Levels in Critically Ill Patients who Underwent Emergency Surgery for Acute Peritonitis
Seung Hwan Lee, Ji Young Jang, Jae Gil Lee
Korean J Crit Care Med. 2013;28(4):247-254.
DOI: https://doi.org/10.4266/kjccm.2013.28.4.247
  • 3,220 View
  • 42 Download
  • 1 Crossref
AbstractAbstract PDF
BACKGROUND
Many studies have shown that serum albumin and prealbumin levels correlate with patient outcomes in critically ill patients. The purpose of this study was to evaluate the clinical significance of prealbumin and albumin levels in patients in the intensive care unit (ICU) after emergency surgery for acute peritonitis.
METHODS
We examined serum albumin and prealbumin as markers for the prediction of patient outcome in 51 patients admitted to the ICU after emergency surgery from January to December in 2012. Biochemical parameters were measured postoperatively. Serum albumin and prealbumin levels were compared between survivors and non-survivors. Patients were also divided according to the occurrence of shock and pulmonary complications (shock group vs. non-shock group, pulmonary complications group vs. non-pulmonary complications group), and outcome analysis was performed for age, American Society of Anesthesiologists (ASA) score, length of ICU stay (IS), length of hospital stay (HS), mechanical ventilation, and APACHE II score. Serum albumin and prealbumin levels were evaluated for any correlation with complications and mortality.
RESULTS
In patients with shock, prealbumin and albumin were significantly decreased (p = 0.047, p = 0.036). Additionally, albumin was significantly decreased in patients with pulmonary complications. Neither albumin nor prealbumin, however, showed a correlation with mortality. Prealbumin showed a correlation with serum albumin, CRP level, and HS (r = 0.511, p < 0.001; r = -0.438, p = 0.002; and r = -0.45, p = 0.001, respectively). Albumin showed a correlation with HS, IS, and APACHE II score (r = -0.404, p = 0.003; r = -0.424, p = 0.002; and r = -0.40, p = 0.006, respectively).
CONCLUSIONS
The initial prealbumin level measured upon admission to the ICU after gastrointestinal emergency surgery can be useful predictor of shock. The initial albumin level was significantly low in patients with shock and pulmonary complications. However, neither prealbumin nor albumin showed a correlation with mortality. Our study also showed that albumin and prealbumin levels are affected by other factors, such as massive hydration and severe inflammation, as reported in previous studies.

Citations

Citations to this article as recorded by  
  • Perioperative risk factors for in-hospital mortality after emergency gastrointestinal surgery
    Jin Young Lee, Seung Hwan Lee, Myung Jae Jung, Jae Gil Lee
    Medicine.2016; 95(35): e4530.     CrossRef
Case Report
Experiences of Wet Beriberi and Wernicke's Encephalopathy Caused by Thiamine Deficiency in Critically Ill Patients
Ji Young Jang, Hongjin Shim, Jae Gil Lee
Korean J Crit Care Med. 2013;28(2):156-159.
DOI: https://doi.org/10.4266/kjccm.2013.28.2.156
  • 3,240 View
  • 33 Download
  • 1 Crossref
AbstractAbstract PDF
Wet beriberi and Wernicke's encephalopathy (WE) are caused by thiamine deficiency and are potentially lethal and serious diseases. Thiamine deficiency occurs mainly due to poor oral intake or inadequate provision of thiamine in enteral or parenteral nutrition therapy. We report cases of wet beriberi and WE that developed after surgery in a surgical intensive care unit. The first patient, who was diagnosed with wet beriberi, underwent right total mastectomy and radical subtotal gastrectomy, simultaneously. The second was diagnosed with irreversible WE, respectively, due to long-term malnutrition. In both cases, intravenous replacement of thiamine was initiated after the admission to the surgical intensive care unit. However, comatose mentality of the second patient did not improve. As a result, we conclude that, if a patient's clinical feature is suspected to be thiamine deficiency, prompt intravenous thiamine replacement is needed.

Citations

Citations to this article as recorded by  
  • A Critical Case of Wernicke's Encephalopathy Induced by Hyperemesis Gravidarum
    Byung Ju Kang, Min Gu Kim, Jwa Hoon Kim, Mingee Lee, Sang-Beom Jeon, Ha Il Kim, Jin Won Huh
    The Korean Journal of Critical Care Medicine.2015; 30(2): 128.     CrossRef

ACC : Acute and Critical Care