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Reelevated blood caffeine level due to intestinal reabsorption in a patient with caffeine intoxication 咖啡因中毒患者肠重吸收所致血液中咖啡因水平再升高
The Japanese Society of Intensive Care Medicine Pub Date : 2021-09-01 DOI: 10.3918/JSICM.28_454
Satoshi Sato, A. Tampo, K. Okuda, K. Shimizu, H. Namba, T. Ichimiya, M. Yamakage
{"title":"Reelevated blood caffeine level due to intestinal reabsorption in a patient with caffeine intoxication","authors":"Satoshi Sato, A. Tampo, K. Okuda, K. Shimizu, H. Namba, T. Ichimiya, M. Yamakage","doi":"10.3918/JSICM.28_454","DOIUrl":"https://doi.org/10.3918/JSICM.28_454","url":null,"abstract":"Acute caffeine intoxication by an overdose shows a dose-dependent response and its symptoms and mechanism are similar to those of acute intoxication caused by theophylline, which is also a xanthine derivative. We experienced a case of acute caffeine intoxication with a lethal dose and performed hemodialysis (HD) to improve the addiction. We examined a therapeutic strategy based on changes in blood levels of caffeine and theophylline, which is an intermediate metabolite, during the course of HD. The blood levels of caffeine and theophylline showed different trends in the early period of internal use. After HD, the blood levels of caffeine and theophylline showed similar trends including the time when the blood levels of caffeine rose again due to intestinal reabsorption. Theophylline may be a useful indicator of re-increase in blood concentration due to a drug overdose.","PeriodicalId":22583,"journal":{"name":"The Japanese Society of Intensive Care Medicine","volume":"12 4","pages":"454-457"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91490389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of tracheotomy with tube exchanger (TE) for difficult airway and limited surgical field due to cervical fusion 颈椎融合致气道困难及手术野受限气管切开术1例
The Japanese Society of Intensive Care Medicine Pub Date : 2021-09-01 DOI: 10.3918/JSICM.28_467
Taeko Sasaki, Yuichi Okano, Kazuki Nomaguchi, Shota Miyamoto, Keiko Terazumi, Kota Hori, K. Hayashida, Katsuki Okumoto
{"title":"A case of tracheotomy with tube exchanger (TE) for difficult airway and limited surgical field due to cervical fusion","authors":"Taeko Sasaki, Yuichi Okano, Kazuki Nomaguchi, Shota Miyamoto, Keiko Terazumi, Kota Hori, K. Hayashida, Katsuki Okumoto","doi":"10.3918/JSICM.28_467","DOIUrl":"https://doi.org/10.3918/JSICM.28_467","url":null,"abstract":"A case of tracheotomy with tube exchanger (TE) for difficult airway and limited surgical field due to cervical fusion Taeko Sasaki*1, Yuichi Okano*2, Kazuki Nomaguchi*2, Shota Miyamoto*2, Keiko Terazumi*1, Kota Hori*1, Kazuyuki Hayashida*1, Katsuki Okumoto*2 *1 Department of Trauma and Critical Care Center, *2 Department of Emergency Medicine, Japanese Red Cross Kumamoto Hospital (2-1-1 Nagamineminami, Higashi-ku, Kumamoto, Kumamoto 861-8520, Japan)","PeriodicalId":22583,"journal":{"name":"The Japanese Society of Intensive Care Medicine","volume":"12 1","pages":"467-468"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88188456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of anaphylactic shock with suspected anti-IgA antibody involvement associated with blood transfusion 过敏性休克疑似与输血相关的抗iga抗体累及1例
The Japanese Society of Intensive Care Medicine Pub Date : 2021-09-01 DOI: 10.3918/JSICM.28_471
Taku Teshima, U. Higashijima, Rintaro Yano, S. Matsumoto, M. Sekino, T. Miura, K. Eishi, T. Hara
{"title":"A case of anaphylactic shock with suspected anti-IgA antibody involvement associated with blood transfusion","authors":"Taku Teshima, U. Higashijima, Rintaro Yano, S. Matsumoto, M. Sekino, T. Miura, K. Eishi, T. Hara","doi":"10.3918/JSICM.28_471","DOIUrl":"https://doi.org/10.3918/JSICM.28_471","url":null,"abstract":"","PeriodicalId":22583,"journal":{"name":"The Japanese Society of Intensive Care Medicine","volume":"76 1","pages":"471-472"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75616737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of status asthmaticus with takotsubo cardiomyopathy treated by volatile anesthetic agent 挥发性麻醉剂治疗急性哮喘合并takotsubo型心肌病1例
The Japanese Society of Intensive Care Medicine Pub Date : 2021-09-01 DOI: 10.3918/JSICM.28_475
N. Maruyama, Osamu Hirao, Y. Ishiyama, Shigekazu Tanaka, A. Matsumoto, K. Yamashita, S. Nishimura
{"title":"A case of status asthmaticus with takotsubo cardiomyopathy treated by volatile anesthetic agent","authors":"N. Maruyama, Osamu Hirao, Y. Ishiyama, Shigekazu Tanaka, A. Matsumoto, K. Yamashita, S. Nishimura","doi":"10.3918/JSICM.28_475","DOIUrl":"https://doi.org/10.3918/JSICM.28_475","url":null,"abstract":"患者は70歳代の女性。気管支喘息にて近医に通院 し,治療薬としてモンテルカストナトリウム10 mgを 定期内服,ツロブテロール経皮吸収型テープ2 mgを 定期貼付,プロカテロール塩酸塩水和物10μgを頓用 で使用していた。なお,吸入ステロイド薬は副作用で ある嗄声を認め,苦痛の訴えが強いため中止していた。 感冒を契機に喘息症状が悪化し,当センターを受診し た。喘鳴と呼吸困難を認め,また,室内気でSpO2 87%であったことから,喘息中〜大発作相当との判断 で入院となった。また,入院時の心電図にて前胸部誘 導 のST上 昇 を 認 め,心 エ コ ー で は 左 室 駆 出 率 (ejection fraction, EF)は30%程度と低下し,基部は 過収縮で心尖部の壁運動低下を認めた。第2病日に冠 動脈造影を施行したところ,有意狭窄はなく,たこつ ぼ型心筋症の合併と診断された。 入院後,一般病棟でプレドニゾロンコハク酸エステ ルナトリウム40 mgの点滴静注とプロカテロール塩酸 塩水和物の吸入にて加療を開始するも,改善が認めら れなかった。また,たこつぼ型心筋症による心不全の 合併を認めた。第3病日より意識障害を認め,動脈血 ガス分析値で,pH 7.1,PaCO2 100 mmHgであり,非 侵襲的陽圧換気(noninvasive positive pressure ventilation,NPPV)を開始した。ステロイド薬をベタメタ ゾンリン酸エステルナトリウム4 mg・12時間ごとの 点滴静注に変更し継続するも呼吸状態の改善を得られ ず,第4病日にICU入室とし,挿管・人工呼吸管理を 開始した。人工呼吸管理開始時からプロポフォール3 mg/kg/hrとデクスメデトミジン塩酸塩 0.6μg/kg/ hrを使用し鎮静したが,バッキングや体位変換で容易 に喘息発作が起こり換気困難となるため,第5病日か らセボフルラン吸入療法を2%で使用開始するととも に,硫酸マグネシウムの静注を行った。なお,セボフ ルラン吸入療法では麻酔器〔Daisy Whispa(アイ・エ ム・アイ)〕を使用して吸入濃度で設定し,室内に放出 されないように排気した。また,うっ血性心不全を合 併したたこつぼ型心筋症に対して利尿薬投与にて対応 したところ,第6病日にはEF 47%程度となり,心尖 部領域の動きも改善傾向にあることから,同日よりス テロイド静注薬に加えて長期管理目的にサルメテロー ルキシナホ酸塩/フルチカゾンプロピオン酸エステル たこつぼ型心筋症を合併した気管支喘息重積発作に対して 揮発性麻酔薬を使用した症例","PeriodicalId":22583,"journal":{"name":"The Japanese Society of Intensive Care Medicine","volume":"1 1","pages":"475-476"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76103614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute coronary syndrome associated with diverticular perforation of sigmoid colon 乙状结肠憩室穿孔伴急性冠状动脉综合征
The Japanese Society of Intensive Care Medicine Pub Date : 2021-09-01 DOI: 10.3918/JSICM.28_473
K. Seki, Kenta Takeishi, Y. Iizuka, T. Asano, K. Ishii, Sachiyo Sekiya, H. Okamoto, Kazuhiro Aoki
{"title":"Acute coronary syndrome associated with diverticular perforation of sigmoid colon","authors":"K. Seki, Kenta Takeishi, Y. Iizuka, T. Asano, K. Ishii, Sachiyo Sekiya, H. Okamoto, Kazuhiro Aoki","doi":"10.3918/JSICM.28_473","DOIUrl":"https://doi.org/10.3918/JSICM.28_473","url":null,"abstract":"","PeriodicalId":22583,"journal":{"name":"The Japanese Society of Intensive Care Medicine","volume":"31 1","pages":"473-474"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73749992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of successful percutaneous mitral valve repair for refractory heart failure due to myocardial infarction complicated with severe ischemic mitral regurgitation 经皮二尖瓣修复难治性心衰合并严重缺血性二尖瓣返流成功一例
The Japanese Society of Intensive Care Medicine Pub Date : 2021-09-01 DOI: 10.3918/JSICM.28_463
Shunsuke Saga, M. Imai, T. Miyamoto, Akihiko Miyata, T. Kuragaichi, M. Toma, Yukihito Sato
{"title":"A case of successful percutaneous mitral valve repair for refractory heart failure due to myocardial infarction complicated with severe ischemic mitral regurgitation","authors":"Shunsuke Saga, M. Imai, T. Miyamoto, Akihiko Miyata, T. Kuragaichi, M. Toma, Yukihito Sato","doi":"10.3918/JSICM.28_463","DOIUrl":"https://doi.org/10.3918/JSICM.28_463","url":null,"abstract":"","PeriodicalId":22583,"journal":{"name":"The Japanese Society of Intensive Care Medicine","volume":"16 1","pages":"463-464"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81679236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Glucagon reversal of shock in a case of refractory anaphylaxis 高血糖素逆转休克1例难治性过敏反应
The Japanese Society of Intensive Care Medicine Pub Date : 2021-03-01 DOI: 10.3918/JSICM.28_126
T. Mayahara, T. Katayama, K. Matsuura, Minako Inoue
{"title":"Glucagon reversal of shock in a case of refractory anaphylaxis","authors":"T. Mayahara, T. Katayama, K. Matsuura, Minako Inoue","doi":"10.3918/JSICM.28_126","DOIUrl":"https://doi.org/10.3918/JSICM.28_126","url":null,"abstract":"","PeriodicalId":22583,"journal":{"name":"The Japanese Society of Intensive Care Medicine","volume":"5 1","pages":"126-127"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80134772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term ECMO for infantile critical pertussis: a case report 长期ECMO治疗婴儿重症百日咳1例
The Japanese Society of Intensive Care Medicine Pub Date : 2021-03-01 DOI: 10.3918/JSICM.28_105
I. Osawa, Taro Watanabe, S. Matsumoto, K. Ide, N. Nishimura, S. Nakagawa
{"title":"Long-term ECMO for infantile critical pertussis: a case report","authors":"I. Osawa, Taro Watanabe, S. Matsumoto, K. Ide, N. Nishimura, S. Nakagawa","doi":"10.3918/JSICM.28_105","DOIUrl":"https://doi.org/10.3918/JSICM.28_105","url":null,"abstract":"","PeriodicalId":22583,"journal":{"name":"The Japanese Society of Intensive Care Medicine","volume":"378 1","pages":"105-109"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80612468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of configuration change using dual lumen catheter during veno venous-ECMO 静脉-静脉- ecmo期间双管腔导管形态改变1例
The Japanese Society of Intensive Care Medicine Pub Date : 2021-03-01 DOI: 10.3918/JSICM.28_134
T. Matsuyoshi, K. Shimizu, Kenshiro Wada, Jun Hamaguchi, Hiroaki Suzuki, Daiyu Kosen, H. Kaneko, Y. Miyake
{"title":"A case of configuration change using dual lumen catheter during veno venous-ECMO","authors":"T. Matsuyoshi, K. Shimizu, Kenshiro Wada, Jun Hamaguchi, Hiroaki Suzuki, Daiyu Kosen, H. Kaneko, Y. Miyake","doi":"10.3918/JSICM.28_134","DOIUrl":"https://doi.org/10.3918/JSICM.28_134","url":null,"abstract":"","PeriodicalId":22583,"journal":{"name":"The Japanese Society of Intensive Care Medicine","volume":"56 1","pages":"134-135"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87327540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The number of critical care beds and insurance charges of mechanical ventilation in Japan 日本机械通气重症监护病床数及保险费用
The Japanese Society of Intensive Care Medicine Pub Date : 2021-03-01 DOI: 10.3918/JSICM.28_123
K. Hosokawa, T. Takei, Y. Iizuka, N. Shime
{"title":"The number of critical care beds and insurance charges of mechanical ventilation in Japan","authors":"K. Hosokawa, T. Takei, Y. Iizuka, N. Shime","doi":"10.3918/JSICM.28_123","DOIUrl":"https://doi.org/10.3918/JSICM.28_123","url":null,"abstract":"","PeriodicalId":22583,"journal":{"name":"The Japanese Society of Intensive Care Medicine","volume":"140 1","pages":"123-125"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76072026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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