• Title/Summary/Keyword: intravascular

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Application of Pediatric Hemodialysis System to Experimental Renal Failure in Dogs (실험적으로 유발한 신부전 개에서 소아용 혈액투석기의 적용에 관한 연구)

  • 신현호;김완희;이충호;남치주;권오경
    • Journal of Veterinary Clinics
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    • v.17 no.2
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    • pp.340-345
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    • 2000
  • The purpose of the present study was to evaluate the possibility of application of pediatric hemodialysis system to dogs weighing less than 6 kg. Six healthy dogs (B .W, 3-6 kg) were used_ Experimental end-stage renal failure was induced by bilateral nephrectomy or bilateral ligation of ure-ters. Hemodialysis was performed when blood urea nitrogen (BUN) value increased over 90 mg/dl and every other day thereafter. Daily investigated parameters included clinical clinical signs such as vomiting, fecal appearance and activity and laboratory data such as PCV, WBC, RBC, BUN, creatinine, Ca, P, $Na^+ Cl^-and K^+$During hemodialysis treatment, BUN and creatinine values were measured hourly. Severe vomiting and inappetence were shown 2 days after infliction of kidney disorder and melena and mucous faces were observed 3 days. The signs were not corrected by hemodialysis treatment. Avel- age hemodialysis treatment time was $5.5 {\times} 0.7$,/TEX> hours until BUN value decreased to normal range. Abnor- mal hematological and electrolytes values were reduced within normal levels after hemodialysis treatments. The complications oft hemodialysis included vomiting, nausea, obstruction of intravascular catheter, tremor, seizure, temporary visual loss and continued decrease in PCV It is suggested that pediatric hemedialysis system can be applied to acute renal failure and acute toxicity. Further works on improvements in maintaining patency of catheter and in managing the complications of hemo- dialysis should be conducted.

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Retrieval of an Intravascular Catheter Tip Fracture in a Dog

  • Na, Yeon-Joo;Ko, Hui-Yeon;Geum, MiGyeong;Jeon, Sukhyon;Kim, Se Eun;Kim, Ha-Jung
    • Journal of Veterinary Clinics
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    • v.37 no.5
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    • pp.270-272
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    • 2020
  • An intravenous foreign body was retrieved from a 10-year-old Maltese. A 24 gauze of fracture intravenous (IV) catheter moved into the circulation to a Maltese (3.4 kg) dog through the upper cephalic vein. Radiography was performed to observe the fracture's moving path, followed by fluid therapy. It was found in the upper cephalic vein, moved about 10 cm up to dorsal and near the proximal humerus. Retrieval surgery was performed successfully without complications. The catheter fracture retrieval sometimes remains a challenge because of unknown complications in veterinary medicine. This case report describes that a fracture IV catheter moved to the systemic vein was removed successfully by a surgery.

Rapid and Easy Diagnosis of Rabbit Haemorrhagic Disease by In Situ Hybridization (In situ Hybridization에 의한 토끼출혈증(rabbit haemorrhagic disease)의 신속.간편한 진단)

  • Park, Nam-Yong;Cho, Ho-Seong;Cho, Kyoung-Oh;Kim, Sang-Jip;Park, Hyung-Seon
    • Korean Journal of Veterinary Pathology
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    • v.5 no.2
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    • pp.57-62
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    • 2001
  • Recently various molecular diagnostic techniques have been used to identify rabbit hemorrhagic disease virus (RHDV), a causative agent responsible for acute hepatitis and disseminated intravascular coagulation in rabbit. But they were hard to perform and time consuming. To detect RHDV in a rapid and easy way, we developed biotinylated oligonucleotide probe within ORF 1 region encoding the polyprotein of RHDV in formalin-fixed and paraffin-embedded tissues from various tissues of 20 rabbits naturally infected with RHDV, Our in situ hybridization (ISH) was quickly carried out within two hours by MicroProbe capillary action system. The ISH produced a positive reaction in liver, kidney and lung. In conclusion, ISH with a biotintlated oligonucleotide probe provided a useful diagnostic method for detecting RHDV.

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A Study of Prediction of Gas Transfer rate in Intravascular Lung Assist Device (혈관 내 폐 보조장치에서의 산소전달속도 예측에 관한 연구)

  • 김기범;나도춘;김성종;정인수;정경락;권대규
    • Membrane Journal
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    • v.14 no.1
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    • pp.18-25
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    • 2004
  • The purpose of this paper was to find out the proper equation to predict the gas transfer rate for designing intravenous artificial lung assist device. The prepared hollow fiber modules were examined under various experimental conditions through experimental modeling before inserted the artificial lung assist d $\varepsilon$ vice into as venous. As a result, we can estimate the gas transfer as a function of the packing density. The gas transfer obtained from the experiment was similar to that from the equation, confirming the usefulness equation. Therefore, we can conclude the gas transfer of the intravenous artificial lung assist device as a function of the packing density, and this functions are very useful for predicting the gas transfer of the intravenous artificial lung assist device.

A Case Report of Glacial Acetic Acid Ingestion Complicated with Hepatic Necrosis (빙초산 음독과 합병된 간괴사 1례)

  • Kyong Yeon Young;Lee Mi Jin;Choi Seung Pil;Park Kyu Nam;Lee Won Jae;Kim Se Kyung
    • Journal of The Korean Society of Clinical Toxicology
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    • v.2 no.1
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    • pp.23-26
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    • 2004
  • Caustic ingestion can produce a progressive and fatal injuries to esophagus, stomach and other organs. Reported exposure to acetic acid results injuries to gastrointestinal tract, hemolysis and disseminated intravascular coagulation is general, but causing hepatic necrosis by direct injuries are rare. A 47-year-old man visited our emergency medical center complaining odynophagia and abdominal pain after ingesting glacial acetic acid ($99\%$) with suicidal ideation. At the time of arrival, the patient complained mild abdominal pain but a few hours later the patient complained severe abdominal pain with markedly elevated liver enzymes. The Abdominal Computerized Tomography showed diffuse gastric wall edema and density of wedge shaped hypodense area in right hepatic dome showing focal hepatic necrosis without significant inflammation. This seems likely to be a direct effect of the noxious agent on hepatocyte involving the portal circulation.

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Diabetic ketoacidosis with pulmonary thromboembolism (당뇨병성 케톤산증에서 발생한 폐혈전색전증)

  • Kim, Dong Min;Lee, Jeonghun;Nam, Soo Min;Lee, Yeon Sun;Moon, Hee;Lee, Kang-Woo;Jang, In Wook
    • Journal of Yeungnam Medical Science
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    • v.31 no.2
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    • pp.99-102
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    • 2014
  • Diabetic ketoacidosis (DKA), a fatal acute diabetic complication, is characterized by severe metabolic decompensation and intravascular volume depletion. These conditions may result in hypercoagulability and prothrombic state. Pulmonary thromboembolism (PTE) could be presented as an uncommon and life-threatening complication of DKA. Reported herein is a case involving a 54-year-old male patient who was admitted with DKA due to chronic alcohol consumption and stopping the intake of oral antidiabetic drugs. After low-molecular-weight heparin and warfarin treatment because of PTE during the DKA treatment, the patient's condition improved over the week that he was discharged on insulin and warfarin.

Incidence of Peripheral Cyanosis in Patients with Therapeutic Hypothermia after Cardiac Arrest in the Acute Care Unit of a Tertiary General Hospital (일개 상급종합병원 응급중환자실 내 심정지 후 저체온요법을 적용한 환자의 말초 청색증 발생 현황)

  • Bang, Soo Youn;Yi, Young Hee
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.128-140
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    • 2021
  • Purpose : This study aimed to identify the incidence of peripheral cyanosis and the characteristics and clinical results of patients with therapeutic hypothermia after a cardiac arrest. Methods : Data were collected from April to June 2021 via the electrical medical records of 95 patients with therapeutic hypothermia for 72 hours after a cardiac arrest admitted to an acute care unit at a tertiary hospital between January 1, 2016, and December 31, 2019. The data were analyzed using descriptive statistics and a t-test, Mann-Whitney U test, Chi-squared test, Fisher's exact test, and logistic regression using SPSS/WIN. Results : The incidence of peripheral cyanosis was 20%. In the peripheral cyanosis group, peripheral vascular disease, fibrinogen, vasopressor, infection, disseminated intravascular coagulation, acute physiology, chronic health evaluation II score on the second hospital day, nursing intervention, and mortality on the seventh hospital day were higher. The level of fibrinogen and use of vasopressors affected the occurrence of peripheral cyanosis. Conclusion : Considering the influencing variables, careful observation is necessary for patients with high fibrinogen levels and vasopressor use. These results provide basic data to recognize the need for nursing intervention for peripheral cyanosis and encourage nurses to deliver them during therapeutic hypothermia.

Simultaneous infection with rabbit hemorrhagic disease virus and Pasteurella multocida in rabbits

  • Lee, Yun Chan;Oh, Yeonsu;Choi, Sang Ho;Chae, Mi Kyung;Na, Ki Bok;Yook, Sim Yong;Han, Jeong Hee
    • Korean Journal of Veterinary Service
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    • v.44 no.1
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    • pp.35-43
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    • 2021
  • Rabbit infectious hemorrhagic fever has been reported in rabbits worldwide. The disease is also frequently reported on Korean rabbit farms, and the pathological study of 9 rabbits on such disease-occurring farms was attempted to identify the pathogen. Clinical signs were torticollis and ear ulceration. Most rabbit died with bloody nasal discharges. At necropsy, multiple hemorrhages and inflammation were observed in heart, lung, liver and uterus. The main histopathologic features were hemorrhagic suppurative meningoencephalitis, fibrinous bronchointerstitial pneumonia, bacteremia, liver cell necrosis, multifocal hemorrhages in kidney and disseminated intravascular coagulopathy. The viral VP60 gene of RHDV was identified by Reverse Transcriptase PCR. Pasteurella multocida organisms were cultured, identified by biochemical test and serotyped as A by multiplex capsular typing PCR. In conclusion, the fatal hemorrhagic disease was due to combined infection with both RHDV and P. multocida in rabbits. To our knowledge, this is the first case report about co-infection with both RHDV and P. multocida in rabbits in Korea.

Free Flap Salvage in the Ischemic Foot: A Case Report

  • Seo, Dongkyung;Dannnoura, Yutaka;Ishii, Riku;Tada, Keisuke;Kawashima, Kunihiro;Yoshida, Tetsunori;Horiuchi, Katsumi
    • Archives of Plastic Surgery
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    • v.49 no.5
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    • pp.696-700
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    • 2022
  • We performed distal bypass and free flap transfer in a single-stage operation to repair an extensive soft tissue defect in an ischemic foot of an 84-year-old woman. The nutrient artery of the free flap was anastomosed to the bypass graft in an end-to-side manner. Subsequently, the bypass graft became occluded on several occasions. Although intravascular and surgical interventions were performed each time, the bypass graft eventually became completely occluded. However, despite late occlusion of the nutrient artery, the free flap has remained viable and the patient is ambulatory. The time required for a transplanted free flap to become completely viable without a nutrient artery is likely longer for an ischemic foot compared with a healthy foot. However, the exact period of time required is not known. A period of month was required in our patient. We report this case to help clarify the process by which a free flap becomes viable when applied to an ischemic foot.

Identifying the Patterns of Adverse Drug Responses of Cetuximab

  • Park, Ji Hyun
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.3
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    • pp.226-237
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    • 2022
  • Background: Monoclonal antibodies for the treatment of patients with different types of cancer, such as cetuximab, have been widely used for the past 10 years in oncology. Although drug information package insert contains some representative adverse events which were observed in the clinical trials for drug approval, the overall adverse event patterns on the real-world cetuximab use were less investigated. Also, there have been no published papers that deal with the full spectrums of adverse drug events of cetuximab using national-wide drug safety surveillance systems. Methods: In this study, we detected new adverse event signals of cetuximab in the Korea Adverse Event Reporting System (KAERS) by utilizing proportional reporting ratios, reporting odds ratios, and information components indices. Results: The KAERS database included 869,819 spontaneous adverse event reports, among which 2,116 reports contained cetuximab. We compared the labels of cetuximab among the United States, European Union, Australia, Japan, and Korea to compare the current labeling information and newly detected signals of our study. Some of the signals including hyperkeratosis, tenesmus, folliculitis, esophagitis, neuralgia, disseminated intravascular coagulopathy, and skin/throat tightness were not labeled in the five countries. Conclusion: We identified new signals that were not known at the time of market approval.