• Title/Summary/Keyword: Arrest

Search Result 1,765, Processing Time 0.027 seconds

How can neurological outcomes be predicted in comatose pediatric patients after out-of-hospital cardiac arrest?

  • Kim, Hyo Jeong
    • Clinical and Experimental Pediatrics
    • /
    • v.63 no.5
    • /
    • pp.164-170
    • /
    • 2020
  • The prognosis of patients who are comatose after resuscitation remains uncertain. The accurate prediction of neurological outcome is important for management decisions and counseling. A neurological examination is an important factor for prognostication, but widely used sedatives alter the neurological examination and delay the response recovery. Additional studies including electroencephalography, somatosensory-evoked potentials, brain imaging, and blood biomarkers are useful for evaluating the extent of brain injury. This review aimed to assess the usefulness of and provide practical prognostic strategy for pediatric postresuscitation patients. The principles of prognostication are that the assessment should be delayed until at least 72 hours after cardiac arrest and the assessment should be multimodal. Furthermore, multiple factors including unmeasured confounders in individual patients should be considered when applying the prognostication strategy.

Surgical Correction of Obstruction of the Inferior Vena Cava using Profound Hypothermia and Total Circulatory Arrest - A Case Report - (초 저체온법과 전혈류 정지술을 이용한 하공정맥 폐쇄증의 수술 치험: 1례 보고)

  • 유재현
    • Journal of Chest Surgery
    • /
    • v.24 no.7
    • /
    • pp.732-738
    • /
    • 1991
  • Membranous obstruction of the inferior vena cava[IVC] is a rare congenital anomaly that may present clinical features of Budd-Chiari syndrome caused by chronic obstruction of hepatic drain. We have experienced a case of IVC obstruction caused by hour-glass constriction and membrane in its center. Operative correction was accomplished using profound hypothermia [20%] and total circulatory arrest of 26 minutes. This technique permitted resection of membrane with direct vision and removal of thrombus of IVC and hepatic vein. After then constricted IVC was repaired with autologous pericardial patch. Total circulatory arrest was used intermittently for good visual field. Postoperative course was smooth and postoperative angiography showed unobstructed flow through the IVC in spite of slight constriction of cavoatrial junction and nearly complete disappearance of collateral vessels.

  • PDF

Respiratory Arrest during Epidural Infusion of Bupivacaine and Morphine (Bupivacaine과 Morphine의 지속적 경막외 주입 중에 발생한 호흡정지 -증례 보고-)

  • Lee, Jun-Hak;Lee, Ki-Nam;Moon, Jun-Il
    • The Korean Journal of Pain
    • /
    • v.8 no.2
    • /
    • pp.386-389
    • /
    • 1995
  • Combined infusion of local anesthetics and opioids has been a common method for providing postoperative analgesia. Complications that can occur with this method include pruritus, nausea and vomiting, urinary retention, hypotension, and both early and late respiratory depression. Late respiratory depression is a rare but feared complication to epidural opioid therapy. We experienced a case of respiratory arrest during epidural infusion of bupivacaine and morphine.

  • PDF

Saponin isolated from Platycodon grandiflorum induces cell cycle arrest in hepatic stellate cells

  • Lee, Kyung-Jin;Shin, Dong-Weon;Chung, Young-Chul;Kim, Young-Sup;Ryu, Si-Yung;Roh, Sung-Hwan;Cho, Young-Soo;Jeong, Hye-Gwang
    • Proceedings of the PSK Conference
    • /
    • 2003.10b
    • /
    • pp.103.3-104
    • /
    • 2003
  • Activation of hepatic stellate cell has been identified as a critical step in hepatic fibrogenesis and is regulated by several factors including cytokines and oxidative stress. In this study, we assayed effects of saponin (CKS), inulin (CKI) and oligo-sugars (CKO) isolated from Platycodon grandiflorum A. DC, changkil (CK) on experimental cell cycle arrest and apoptosis in hepatic stellate cell line (HSC-T6). CKS induced cell arrest at G$_1$. CKS also reduced intercellular reactive oxygen species and collagen synthesis in hydrogen peroxide-induced oxidative stress and acetaldehyde-stimulated collagen synthesis, respectively, in HSC-T6 cells. (omitted)

  • PDF

Surgical Treatment of Aortic Diseases (대동맥질환의 수술요법)

  • 이재원
    • Journal of Chest Surgery
    • /
    • v.27 no.6
    • /
    • pp.455-459
    • /
    • 1994
  • We experienced 20 cases of acquired aortic diseases during last 1 year [Sep. 1992-Aug. 1993] with newly developed surgical strategies. There were 13 cases[65%] of aortic dissections, 5 cases[25%] of aortic aneurysms and 2 cases of Takayasu arteritis with mean age of 56 + 16 years[range:5-78].In ten cases of patients requiring ascending aortic replacement, femoral artery and femoral vein &/or RA auricle were used as cannulation site. With deep hypothermic circulatory arrest and retrograde cerebral perfusion of cold oxygenated blood via SVC, we can replace the ascending aorta and part of arch if necessary. The mean duration of circulatory arrest was 30 minutes[17-45 min]. In 5 cases of patients who requiring descending and thoracoabdominal aorta replacement, we used simple aortic crossclamping under normothermia with no heparin. The mean duration of aortic crossclamping was 37 minutes[25-50 min].The results of operation were as follow:Operative mortality[2 cases, 10%], delayed cerebral infarct[1], low extremity weakness[1] and intraoperative myocardial infarct[1]. There are no delayed complication or mortality as yet.

  • PDF

Electrocardiographical Studies on Hypocalcemia in Goats (저(低)Calcium혈증(血症)에 관한 심전도학적(心電圖學的) 연구(硏究))

  • Kang, Chung-Boo
    • Korean Journal of Veterinary Research
    • /
    • v.23 no.1
    • /
    • pp.17-23
    • /
    • 1983
  • Experimental hypocalcemia was induced in normal goats by intravenous infusion with various concentration of $Na_2$-EDTA solution. 1. Progressive depression of reflexes and body temperature, paresis, and cardiac arrest were observed in two groups infused with 4% and 8% EDTA solution, whereas paresis and cardiac arrest were not observed in 3% EDTA group. 2. The patterns of electrocardiogram were changed according to the decrease of plasma Ca level in all of 7 goats. When plasma Ca decreased to 6mg per 100ml or below, sinus bradycardia or tachycardia and prolongation of QT interval were showed, while atrioventricular block was noted in case which the plasma Ca level decreased to 4mg per 100ml or below. Fibrillation and cardiac arrest were evident in case which the plasma Ca level decreased to as low as 3mg per 100ml.

  • PDF

Susceptibility of Bacillus subtilis SNU816 to bacteriophage SP816 during growth and sporulation. (성장 및 포자형성 중인 Bacillus subtilis SNU816의 SP816 박테리오파아지에 대한 감수성에 관하여)

  • Lee, Oh-hyoung;Lee, Zoo-Shik
    • Korean Journal of Microbiology
    • /
    • v.22 no.2
    • /
    • pp.111-118
    • /
    • 1984
  • The changes of susceptibility of Bacillus subtilis SNU816 to bacteriophage SP816 were investigated. When B. sutilis SNU816 cells were infected by the phage during vegetative growth, rapid lysis was observed. But when they were infected after late logarismic phase, they were resistant to phage infection. Since asporogenic culture of this strain was invariably lysed regardless of time of infection, the arrest of phage multiplication seemed to be caused by sporulation. In reality, the arrest of phage multiplication occurred at early stage of sporulation. Electron microscopy revealed that the arrest of phage multiplication occurred just prior to or during septum formation (stage II sporulation).

  • PDF

G1 CELL CYCLE ARREST OF KG-1, A HUMAN ACUTE LEUKEMIA CELLS, BY 8-HYDROXYDEOXYGUANOSINE OCCURS THROUGH BLOCKADE OF THE EXTRACELLULAR SIGNAL REGULATED KINASE PATHWAY

  • Hyun, Jin-Won;Yoon, Sun-Hee;Yoon, Byung-Hak;Chung, Myung-Hee
    • Proceedings of the Korean Society of Toxicology Conference
    • /
    • 2002.11b
    • /
    • pp.138-138
    • /
    • 2002
  • 8-hydroxydeoxyguanosine (oh8dG) potently inhibits proliferation of KG-1, a human leukemia cell line in vitro, but little is known regarding to molecular mechanisms mediating this effect. Here we demonstrate that treatment of KG-1, deficient in 8-oxoguanine glycosylase (OGG1) activity, with oh8dG lead to G1 arrest associated with a dramatic decrease in the levels of cyclin D3 and cyclin-dependent kinase 4 (cdk4) and accompanied by an increase in the expression of p21.(omitted)

  • PDF

The analysis on general characteristics and awareness of first aid of scuba diver

  • KO, Jang-Sik;Cho, Byung-Jun;Kim, Gyoung-Yong
    • Journal of the Korea Society of Computer and Information
    • /
    • v.24 no.4
    • /
    • pp.161-167
    • /
    • 2019
  • In this paper, we propose a study on awareness of first aid of scuba diver. In order to achieve this purpose, a total of 310 customers over the age of 20 were selected as study participants form diving pools and dive resort in Seoul, Gyeonggi, Gangwon, Gyeongsang province area using the convenience sampling method However, only data from 295 customers were used after screening the data for reliability. The instrument for data collection was a questionnaire, and descriptive statistics, inter-item consistency reliability, pearson chi-square test were conducted on the data using the SPSS 21.0 version statistical package program. The followings are the results: The level differ significantly according hemorrhage, abrasion, sprain, fracture, fever, arrest, airway obstruction. As a result of analyzing the difference of first aid recognition according to the level of scuba diver, we found bleeding patients, abrasions, sprains, fractures, high heat exposure patients, cardiac arrest patients. There was a statistically significant difference in the level of airway obstruction due to food.

Short-term Mechanical Circulatory Support with Centrifugal Pump in Cardiac Arrest or Cardiogenic Shock - Report of 5 cases- (심정지 혹은 심인성 쇼크에서 원심성 펌프를 이용한 단기목표의 기계적 순환 보조)

  • 양희철;성기익;뱍계현;전태국;박표원;양지혁;이영탁
    • Journal of Chest Surgery
    • /
    • v.37 no.12
    • /
    • pp.1003-1009
    • /
    • 2004
  • Mechanical circulatory support (MCS) has been used for myocardium failure, but moreover, it may be essential for the life support in cardiac arrest or cardiogenic shock. Many commercial devices can be used effectively for the long-term support. However, there are some limitations in the aspects of the cost and technical support by production company. Short-term support with centrifugal type has been reported numerously with the purpose of bridging to heart transplantation or recovery. We successfully treated 5 patitents who were in the status of cardiogenic shock (n=3) or arrest (n=2) with the technique of extracorporeal life support system (ECLS) or left ventricular assist device (LVAD) using the centrifugal type pump. The MCS were performed emergently (n=2) under cardiac arrest caused by ischemic heart disease, and urgently (n=3) under cardiogenic shock with ischemic heart disease (n=1) or acute fulminant viral myocarditis (n=2). All patients were weaned from MCS. Complications related to the use of MCS were bleeding and acute renal failure, but there were no major complications related to femoral cannulations. Mechanical circulatory support may be essential for the life support and rescue in cardiac arrest or cardiogenic shock.