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Case Report
Critical Illness Neuromyopathy Complicating Cardiac Surgery
Wan Ki Baek, Young Sam Kim, Joung Taek Kim, Byoung-Nam Yoon
Acute Crit Care. 2018;33(1):51-56.   Published online July 11, 2017
  • 6,369 View
  • 151 Download
  • 2 Crossref
AbstractAbstract PDF
Critical illness neuromyopathy (CINM) is a sporadically reported disease in the setting of an intensive care unit developing in the process of managing a critical illness. The disease primarily affects the motor and sensory axons and results in severe limb weakness rendering ventilator weaning extremely difficult. We report a case of CINM after cardiac valve surgery. Quadriplegia developed after the operation and resolved slowly over the following 2 months. The patient was discharged home free of neurologic symptoms.


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Original Article
The Study of Rescuer's Fatigue by Changes of Compression-Vetilation Ratio using Manikin Model of the One-Rescuer CPR
Hee Bum Yang, Young Mo Yang, Jong Wan Kim, Won Young Sung, Ho Lee, Jang Young Lee, Sung Youp Hong
Korean J Crit Care Med. 2006;21(2):116-125.
  • 1,705 View
  • 47 Download
AbstractAbstract PDF
The point of this study is focused on the rescuer's fatigue may increase as the ratio of chest compression-ventilation increases.
10 students of emergency medical service and resucue had participated in this study. Cardiopulmonary resuscitation (CPR) was carried out with Laerdal's ResusciAnne with 4 types of compression-ventilation ratio (C-V ratio), and the data was recorded. The rescuer's fatigue was subjectively estimated with the visual analogue scale (VAS), objective fatigue was measured by median frequency which was acquired from the electromyography (EMG) signal, heart rate and the serum lactate level was measured. Statistical analysis was accomplished within each C-V ratios.
As C-V ratio increased from 15 : 2 to 30 : 2, the quality of chest compression was improved. Subjective fatigue was increased significantly when C-V ratio increased to 30 : 2 from 15 : 2 and to 60 : 2 from 45 : 2. Gradual downward transition of the median frequency on EMG was shown as a result of increments of C-V ratio. Significant serum lactate accumulation had shown on ratio of 60 : 2 compare to other ratios.
Fatigue of the rescuers will be aggravated by increase of C-V ratio. Rapid rescuer change is preferable when C-V ratio is increased.

ACC : Acute and Critical Care