Acute and Critical Care

Review Article

March 17, 2022

Oxygen therapy for sepsis and prevention of complications

Hayk Minasyan

Acute Crit Care. 2022;37(2):137-150.

Patients with sepsis have a wide range of respiratory disorders that can be treated with oxygen therapy. Experimental data in animal sepsis models show that oxygen therapy significantly increases survival,...

Review Article

May 30, 2022

Review of remimazolam and sedatives in the intensive care unit

Hey-Ran Choi, In-Ae Song

Acute Crit Care. 2022;37(2):151-158.

-Remimazolam is a novel intravenous ultra-short acting benzodiazepine, which can be reversed by flumazenil.
-Dosing adjustment for older adults and for patients with renal or liver impairment patients (except for those with severe hepatic impairment) are not required because remimazolam is rapidly metabolized by tissue esterase.
-Use of remimazolam results in a lower incidence of cardiorespiratory depression and less pain at injection site, as well as no fatal adverse effects such as propofol infusion syndrome and malignant hyperthermia of volatile anesthetics.

Original Article

March 11, 2022

Association of pulmonary arterial pressure with volume status in patients with acute respiratory distress syndrome receiving extracorporeal membrane oxygenation

Tae Hwa Hong, Hyoung Soo Kim, Sunghoon Park

Acute Crit Care. 2022;37(2):159-167.

∙ Net fluid balance was weakly but significantly correlated with systolic and diastolic pulmonary arterial pressure (PAP) in patients with refractory acute respiratory distress syndrome receiving extracorporeal membrane oxygenation.
∙ Systolic PAP was higher in non-survivors than in survivors, but was not associated with hospital mortality in multivariable analysis.

Original Article

March 11, 2022

Comparison of critically ill COVID-19 and influenza patients with acute respiratory failure

Mehmet Yildirim, Burcin Halacli, Mehmet Yasir Pektezel, Berrin Er, Ismail Tuna Geldigitti, Gulay Tok, Ebru Ortac Ersoy, Arzu Topeli

Acute Crit Care. 2022;37(2):168-176.

• There was no significant difference in hospital mortality between critically ill coronavirus disease 2019 (COVID-19) and influenza patients.
• Critically ill influenza patients had worse performance status and disease severity than patients with COVID-19.
• Secondary bacterial infection, admission acute kidney injury, procalcitonin level above 0.2 ng/ml were the independent factors distinguishing influenza from COVID-19 while prone positioning differentiated COVID-19 from influenza.

Original Article

April 20, 2022

The role of nafamostat mesilate as a regional anticoagulant during extracorporeal membrane oxygenation

Jae Ha Lee, Jin Han Park, Ji Hoon Jang, Se Hun Kim, Sung Yong Hong, Woon Heo, Dong-Hwan Lee, Hye Sook Choi, Ki Hoon Kim, Hang-Jea Jang

Acute Crit Care. 2022;37(2):177-184.

∙ Nafamostat mesilate showed efficacy as a regional anticoagulation method by sustaining a lower activated partial thromboplastin time (aPTT) value compared to that measured at the extracorporeal membrane oxygenation (ECMO) site during veno-arterial ECMO (VA-ECMO).
∙ Nafamostat mesilate should be considered as a regional anticoagulation alternative for patients at high risk of bleeding during VA-ECMO.

Original Article

April 22, 2022

Measured versus estimated creatinine clearance in critically ill patients with acute kidney injury: an observational study

Sara Kadivarian, Fatemeh Heydarpour, Hasanali Karimpour, Foroud Shahbazi

Acute Crit Care. 2022;37(2):185-192.

• None of the available formulations have a high or very high correlation with measured creatinine clearance.
• In patients with acute kidney injury (AKI) dynamic methods like kinet-glomerular filtration rate (GFR) may be a better prediction for GFR.
• Using Cockcroft-gault in patients with AKI overestimate GFR.

Original Article

February 11, 2022

Incidence and risk factors associated with early death in patients with emergency department septic shock

Matthew S. Reaven, Nigel L. Rozario, Maggie S. J. McCarter, Alan C. Heffner

Acute Crit Care. 2022;37(2):193-201.

• A significant focus is placed on early recognition and treatment of sepsis.
• Few studies evaluate early mortality (within 72 hours of presentation).
• Several identifiable factors have been shown to correlate with early mortality.
• Identifying patients at high risk of early mortality may aid in their management.

Original Article

April 28, 2022

The effect of time management education on critical care nurses’ prioritization: a randomized clinical trial

Fatemeh Vizeshfar, Mahnaz Rakhshan, Fatemeh Shirazi, Roya Dokoohaki

Acute Crit Care. 2022;37(2):202-208.

• Time management is an important part of effective patient care in intensive care units.
• Time management techniques are learnable.
• Time management training helped nurses adjust the time required to perform and prioritize various tasks.

Original Article

March 8, 2022

Hearing screening outcomes in pediatric critical care survivors: a 1-year report

Pattita Suwannatrai, Chanapai Chaiyakulsil

Acute Crit Care. 2022;37(2):209-216.

- Approximately 28.3% of the participants were found to have abnormal transitory evoked otoacoustic emission (TEOAE) screening responses.
- Associations were found in children younger than 12 months of age and in children with genetic comorbidities.
- High prevalence of abnormal TEOAE hearing screening responses was demonstrated in critically ill children.

Original Article

February 3, 2022

Early postoperative arrhythmias after pediatric congenital heart disease surgery: a 5-year audit from a lower- to middle-income country

Sidra Ishaque, Saleem Akhtar, Asma Akbar Ladak, Russell Seth Martins, Muhammad Kamran Younis Memon, Alisha Raza Kazmi, Fatima Mahmood, Anwar ul Haque

Acute Crit Care. 2022;37(2):217-223.

-We report a 22.8% rate of postoperative arrhythmias in patients who underwent surgery for congenital heart disease.
-Junctional ectopic tachycardia was the most common arrhythmia (65%), followed by complete heart block (18%).
-Postoperative arrhythmia was seen most commonly in patients with atrioventricular septal defects (63.6%) and transposition of the great arteries (36.4%).

Original Article

February 3, 2022

Determining the diagnostic value of tracheal intubation by palpation and auscultation methods compared to the chest X-ray method in children

Gholamreza Masoumi, Mojtaba Mansouri, Omid Fathali

Acute Crit Care. 2022;37(2):224-229.

-Due to the higher interclass correlation coefficient of palpation method than auscultation one, the palpation method was found to be relatively better than the auscultation method.
-In the present study, height was the most effective variable in locating the tracheal tube in the auscultation method.

Original Article

February 4, 2022

Cinematic virtual reality for anxiety management in mechanically ventilated patients: a feasibility and pilot study

Alexander C. Haley, David A. Wacker

Acute Crit Care. 2022;37(2):230-236.

A pilot design of a cinematic virtual reality environment to relieve anxiety was implemented according to protocol for a pilot cohort of mechanically ventilated patients without incidence of prespecified safety outcomes including accidental extubation, and without incidence of cybersickness.
-A 100-point visual analog scale was successfully applied to assess subjects’ anxiety levels before and after virtual reality interventions, demonstrating feasibility of this scale for future studies.

Original Article

February 24, 2022

Changes in the incidence of cardiopulmonary resuscitation before and after implementation of the Life-Sustaining Treatment Decisions Act

Hyunjae Im, Hyun Woo Choe, Seung-Young Oh, Ho Geol Ryu, Hannah Lee

Acute Crit Care. 2022;37(2):237-246.

 Implementation of life-sustaining treatment (LST) decisions did not affect the incidence of cardiopulmonary resuscitation in hospitalized patients at 2 years after enforcement of the Act.
 Cardiac arrests that occurred in terminally ill patients who had a written document regarding withholding and withdrawal of LST comprised a small proportion of the total cardiac arrests in our center, and the proportions before and after implementation of the Act were the same.
 Proactive preparation of documentation regarding withholding and withdrawal of LST with universalization of the Act will be needed to avoid unnecessary resuscitation at end-of-life stages.

Original Article

April 22, 2022

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.

 Repacking and combined bladder-urethra injury are potential risk factors for surgical-site infection in patients with unstable pelvic fracture.
 Close observation is recommended for up to 8 days in patients with these risk factors.
 At 48 hours after preperitoneal pelvic packing, removing the packed gauze on cessation of bleeding and not performing repacking can help prevent surgical site infection.

Current Issue: Volume 37(2); May 2022

Improving mobility in the intensive care unit with a protocolised, early mobilization program: observations of a single centre before-and-after the implementation of a multidisciplinary program Laptin Ho, Joe Hin Cheung Tsang, Emmanuel Cheung, Wing Yan Chan, Ka Wai Lee, Sweetie R Lui, Chung Yau Lee, Alfred Lok Hang Lee, Philip Koon Ngai Lam Original Article June 29, 2022 Full text PubReader ePub PDF Supplementary Material	The muscle Growth and Anabolism in Intensive Care Survivors (GAINS) trial: a pilot randomised controlled trial Matthew H Anstey, Rashmi Rauniyar, Ethan Fitzclarence, Natalie Tran, Emma Osnain, Bianca Mammana, Angela Jacques, Robert N Palmer, Andrew Chapman, Bradley Wibrow Original Article June 27, 2022 Full text PubReader ePub PDF Supplementary Material
Early assessment of aspiration risk in acute stroke by fiberoptic endoscopy in critically ill patients Mohamed Saad Abdelaziz Elsyaad, Akram Muhammad Fayed, Mohamed Mostafa Abdel Salam Megahed, Nesrine Hazem Hamouda, Ahmed Moustafa Elmenshawy Original Article June 27, 2022 Full text PubReader ePub PDF	A fatal case report of invasive pulmonary aspergillosis and mucormycosis coinfection in an immunocompetent patient with coronavirus disease 2019 in Korea Jin Hyoung Kim, Misung Kim, Soyeoun Lim, Sun Young Park, Yangjin Jegal, Taehoon Lee, Byung Ju Kang Case Report June 27, 2022 Full text PubReader ePub PDF
Development and internal validation of a nomogram for predicting outcomes in children with traumatic subdural hematoma Anukoon Kaewborisutsakul, Thara Tunthanathip Original Article June 23, 2022 Full text PubReader ePub PDF	Cytokine profiles in intensive care unit delirium Ryan J. Smith, Christian Lachner, Vijay P. Singh, Shubham Trivedi, Biswajit Khatua, Rodrigo Cartin-Ceba Original Article June 20, 2022 Full text PubReader ePub PDF
Digital tomography in the diagnosis of a posterior pneumothorax in the intensive care unit Shauni Wellekens, Nico Buls, Johan De Mey, Vincent Van Nieuwenhove, Jeroen Cant, Joop Jonckheer Case Report June 10, 2022 Full text PubReader ePub PDF	Diaphragm ultrasound in weaning from mechanical ventilation: a last step to predict successful extubation? Domenica Di Costanzo, Mariano Mazza, Antonio Esquinas Letter to the Editor May 31, 2022 Full text PubReader ePub PDF
Successful neural modulation of bedside modified thoracic epidural anesthesia for ventricular tachycardia electrical storm Ki-Woon Kang Case Report May 31, 2022 Full text PubReader ePub PDF	Successful extracorporeal membrane oxygenation treatment of catecholamine-induced cardiomyopathy-associated pheochromocytoma Sangshin Park, Min Kim, Dae In Lee, Ju-Hee Lee, Sangmin Kim, Sang Yeub Lee, Jang-Whan Bae, Kyung-Kuk Hwang, Dong-Woon Kim, Myeong-Chan Cho, et al. Case Report May 11, 2022 Full text PubReader ePub PDF Supplementary Material
What should an intensivist know about pneumocephalus and tension pneumocephalus? Bhushan Sudhakar Wankhade, Maged Mohsen Kamel Beniamein, Zeyad Faoor Alrais, Jyoti Ittoop Mathew, Ghaya Zeyad Alrais Case Report April 13, 2022 Full text PubReader ePub PDF	Myoclonic status epilepticus after severe hyperthermia in a patient with coronavirus disease 2019 Katherine A Hill, John J Peters, Sara M Schaefer Case Report March 24, 2022 Full text PubReader ePub PDF
COVID-19–related acute respiratory distress syndrome treated with veno-venous extracorporeal membrane oxygenation and programmed multi-level ventilation: a case report Filip Depta, Anton Turčan, Pavol Török, Petra Kapraľová, Michael A. Gentile Case Report January 21, 2022 Cited By 1 Full text PubReader ePub PDF	Successful treatment of propofol-related infusion syndrome in critically ill patient receiving low-dose propofol infusion Nahyeon Park, Tae Sun Ha Case Report November 26, 2021 Full text PubReader ePub PDF
Continuous renal replacement therapy increased plasma cholinesterase activity in a case of acute organophosphate poisoning In Ho Kwon, Jinwoo Jeong, Yuri Choi Case Report November 16, 2021 Full text PubReader ePub PDF

The Korean Society of Critical Care Medicine

First decision

35 Days

Publication after acceptance

91 Days

Submission to publication

155 Days

Acceptance rate

33 %

*Last 12 months

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