Acute and Critical Care

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Review Article

November 30, 2021

High-flow nasal cannula for respiratory failure in adult patients

SeungYong Park

Acute Crit Care. 2021;36(4):275-285.

The high-flow nasal cannula (HFNC) has been recently used in several clinical settings for oxygenation in adults. In particular, the advantages of HFNC compared with low-flow oxygen systems or non-invasive...

Review Article

November 26, 2021

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 Crit Care. 2021;36(4):286-293.

The mortality rate of pulmonary hypertension in pregnancy is 25%–56%. Pulmonary arterial hypertension is the highest incidence among this group, especially in young women. Despite clear recommendation of pregnancy avoidance,...

Original Article

November 23, 2021

Effect of modified care bundle for prevention of ventilator-associated pneumonia in critically-ill neurosurgical patients

Suphannee Triamvisit, Wassana Wongprasert, Chalermwoot Puttima, Matchima Na Chiangmai, Nawaphan Thienjindakul, Laksika Rodkul, Chumpon Jetjumnong

Acute Crit Care. 2021;36(4):294-299.

⦁ Ventilator-associated pneumonia (VAP) care bundles should be implemented in all critically ill neurosurgical patients.
⦁ Our modified VAP care bundle has efficacy in reduction of VAP rate and can be used in settings of limited resources.

Original Article

November 29, 2021

Association of vitamin D deficiency with COVID-19 severity and mortality in Iranian people: a prospective observational study

Alireza Fatemi, Seyed Hossein Ardehali, Ghazaleh Eslamian, Morvarid Noormohammadi, Shirin Malek

Acute Crit Care. 2021;36(4):300-307.

• Vitamin D deficiency was associated with increased mortality in coronavirus disease 2019 (COVID-19) patients.
• Deficient vitamin D status was associated with increased COVID-19 severity.

Original Article

November 22, 2021

COVID-19–induced acute kidney injury in critically ill patients: epidemiology, risk factors, and outcome

Ahlem Trifi, Sami Abdellatif, Yosri Masseoudi, Asma Mehdi, Oussama Benjima, Eya Seghir, Fatma Cherif, Yosr Touil, Bedis Jeribi, Foued Daly, et al.

Acute Crit Care. 2021;36(4):308-316.

- Acute kidney injury (AKI) occurred in 44% of critically ill patients affected with coronavirus disease 2019 (COVID-19).
- A high level of D-dimers and less significance of sepsis were factors related with the development of AKI.
- AKI increased the death risk by 6 and reduced survival by an average of 5 days.
- Originality: We propose that identification of elevated D-dimers as the factor most related to COVID-19-induced AKI represents the originality of the present study. This gives more emphasis on the role of micro thrombi (acute thrombotic microangiopathy caused by severe acute respiratory syndrome coronavirus-2) in the genesis of AKI and considers addition of curative anticoagulation and immunomodulatory treatments.

Original Article

November 29, 2021

Atrial fibrillation of new onset during acute illness: prevalence of, and risk factors for, persistence after hospital discharge

Abarna Ramanathan, John Paul Pearl, Manshi Li, Xiaofeng Wang, Divyajot Sadana, Abhijit Duggal

Acute Crit Care. 2021;36(4):317-321.

• Atrial fibrillation of new onset during acute illness (AFNOAI) has a high rate of persistence after hospital discharge and is associated with a high in-hospital and 5-year mortality.
• Age, hyperlipidemia, immunosuppression, mitral regurgitation, and diastolic dysfunction may increase the risk of long-term persistence of AFNOAI.
• Anti-coagulation should be considered in patients with AFNOAI for thromboembolic prophylaxis following discharge.

Original Article

November 16, 2021

Bleeding complications associated with the molecular adsorbent recirculating system: a retrospective study

Seon Woo Yoo, Min-Jong Ki, Dal Kim, Seul Ki Kim, SeungYong Park, Hyo Jin Han, Heung Bum Lee

Acute Crit Care. 2021;36(4):322-331.

Background: The molecular adsorbent recirculating system (MARS) is a hepatic replacement system that supports excretory liver function in patients with liver failure. However, since MARS has been employed in our...

Original Article

November 26, 2021

Association of natural light exposure and delirium according to the presence or absence of windows in the intensive care unit

Hyo Jin Lee, Eunhye Bae, Hong Yeul Lee, Sang-Min Lee, Jinwoo Lee

Acute Crit Care. 2021;36(4):332-341.

Background: Patients in the intensive care unit (ICU) have increased risks of delirium, which is associated with worse outcomes. As pharmacologic treatments for delirium are ineffective, prevention is important. Nonpharmacologic...

Original Article

November 16, 2021

How do physicians and nurses differ in their perceived barriers to effective enteral nutrition in the intensive care unit?

Masoumeh Mirhosiny, Mansour Arab, Parvin Mangolian Shahrbabaki

Acute Crit Care. 2021;36(4):342-350.

Background: Patients hospitalized in intensive care units are susceptible to chronic malnutrition from changes in protein and energy metabolism in response to trauma. Therefore, nutritional support, especially enteral nutrition, is...

Original Article

November 26, 2021

Outcomes of critically ill patients according to the perception of intensivists on the appropriateness of intensive care unit admission

Youjin Chang, Kyoung Ran Kim, Jin Won Huh, Sang-Bum Hong, Younsuck Koh, Chae-Man Lim

Acute Crit Care. 2021;36(4):351-360.

Background: It is important for intensivists to determine which patient may benefit from intensive care unit (ICU) admission. We aimed to assess the outcomes of patients perceived as non-beneficially or...

Original Article

November 26, 2021

Associations between systemic inflammation and intestinal permeability with Onodera's prognostic nutritional index in critically ill patients

Seyed Hossein Ardehali, Ghazaleh Eslamian, Shirin Malek

Acute Crit Care. 2021;36(4):361-368.

Background: Malnutrition is a potentially costly problem in critically ill patients admitted to the intensive care unit (ICU). The aim of this study is to evaluate the relationships between the...

Original Article

November 26, 2021

Safety and feasibility of hybrid tracheostomy

Daeun Kang, In Beom Jeong, Sun Jung Kwon, Ji Woong Son, Gwan Woo Ku

Acute Crit Care. 2021;36(4):369-373.

⦁ Hybrid tracheostomy is a method that combines the advantages of percutaneous dilatational tracheostomy and surgical tracheostomy, and it does not need a lot of equipment and experts at the site.
⦁ Hybrid tracheostomy can be safely performed without any serious complications in most patients, and it is thought to be a possible treatment for patients taking antiplatelets or anticoagulants.

Original Article

November 26, 2021

Under or overpressure: an audit of endotracheal cuff pressure monitoring at the tertiary care center

Biju Viswambharan, Manjini Jeyaram Kumari, Gopala Krishnan, Lakshmi Ramamoorthy

Acute Crit Care. 2021;36(4):374-379.

• This study demonstrated that intensive care units intensive care units (ICUs) with cuff pressure monitoring devices and active measurement protocols had a higher proportion of patients with optimal cuff pressure (58.5%) and a lower proportion with sub-optimal and high cuff pressures (19.5% and 22.0%) compared to ICUs with no device-based monitoring protocols.
• The ventilator-associated pneumonia rates of ICUs exhibited a weak positive correlation with sub-optimal cuff pressure.

Original Article

November 26, 2021

Prognostic factors of pediatric hematopoietic stem cell transplantation recipients admitted to the pediatric intensive care unit

Da Hyun Kim, Eun Ju Ha, Seong Jong Park, Kyung-Nam Koh, Hyery Kim, Ho Joon Im, Won Kyoung Jhang

Acute Crit Care. 2021;36(4):380-387.

- Pediatric patients received hematopoietic stem cell transplantation (HSCT) tend to have several complications and have high mortality.
- Number of HSCT received, use of mechanical ventilator, oncological pediatric risk of mortality-III (OPRISM-III), PRISM-III and pediatric sequential organ failure assessment (pSOFA) were significant prognostic factor of 28-day mortality.

Current Issue: Volume 36(4); Nov 2021

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Volume 36, No 4

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2021

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1986

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Volume 36, No. 4

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