Medical Biological Science and Engineering最新文献_第8页

External iliac vein injury during total hip arthroplasty: a case report 全髋关节置换术中髂外静脉损伤1例

Medical Biological Science and Engineering Pub Date : 2019-01-31 DOI: 10.30579/MBSE.2019.2.1.26

Ji Hyo Kim, Ji Hyun Kim, Hyeon Jun Lee, Yehun Jin, S. Hong

引用次数: 0

Ultrasonographically detected central venous catheter-related thrombosis in patient undergoing anticoagulation therapy during anesthetic induction 超声检测麻醉诱导过程中抗凝治疗患者中心静脉导管相关血栓形成

Medical Biological Science and Engineering Pub Date : 2018-07-31 DOI: 10.30579/MBSE.2018.1.2.65

H. Son, H. B. Oh, Haesol Han, J. Baik, Eun-Ho Lee

{"title":"Ultrasonographically detected central venous catheter-related thrombosis in patient undergoing anticoagulation therapy during anesthetic induction","authors":"H. Son, H. B. Oh, Haesol Han, J. Baik, Eun-Ho Lee","doi":"10.30579/MBSE.2018.1.2.65","DOIUrl":"https://doi.org/10.30579/MBSE.2018.1.2.65","url":null,"abstract":"Corresponding author Eun-Ho Lee Department of Anesthesiology and Pain Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea Tel: +82-2-3010-3888 Fax: +82-2-470-1363 E-mail: leho@naver.com ORCID: https://orcid.org/0000-0002-6369-7429 Catheter-related thrombosis (CRT) is a common complication of central venous catheter inserted into the internal jugular vein or subclavian vein. Most CRT is resolved with thrombolytic therapy without additional complications such as pulmonary embolism, deep vein thrombosis, or post-thrombotic syndrome. Unusually, we experienced asymptomatic CRT occurred in a patient undergoing anticoagulation therapy. Central venous catheter was inserted into the right subclavian vein and the patient received heparin therapy for treatment of myocardial infarction for 16 days before surgery. Thrombus was detected during ultrasonographic examination when placing additional central venous catheter with a SwanGanz catheter after induction of general anesthesia. The catheter with a thrombus was removed 5 hours after off pump coronary artery bypass surgery. Heparin therapy was started 24 hours after surgery and continued for three days owing to CRT. The patient received anticoagulation therapy including warfarin and aspirin consistently. He was discharged at 15 days after surgery.","PeriodicalId":259565,"journal":{"name":"Medical Biological Science and Engineering","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133613299","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: 1

Tracheobronchopathia osteochondroplastica discovered during tracheal intubation for general anesthesia 气管支气管病变，全身麻醉气管插管时发现的骨软骨增生

Medical Biological Science and Engineering Pub Date : 2018-07-31 DOI: 10.30579/MBSE.2018.1.2.58

Chan Noh, Y. Shin, S. Yoon, Seokhwan Hong, Choonho Jung, C. Lim

引用次数: 0

Intraoperative cardiopulmonary collapse despite prophylactic anticoagulation for thromboembolism 尽管预防性抗凝治疗血栓栓塞，术中仍发生心肺衰竭

Medical Biological Science and Engineering Pub Date : 2018-07-31 DOI: 10.30579/MBSE.2018.1.2.61

Ju Deok Kim, C. Cheng, D. Shim, Doosik Kim, S. Ryu, Yusom Shin

引用次数: 0

Comparison of osteoporotic intertrochanteric fracture fixation using a proximal femoral nail with a helical blade and lag screw type proximal femoral nail 螺旋刀片股近端钉与拉力螺钉型股近端钉固定骨质疏松性粗隆间骨折的比较

Medical Biological Science and Engineering Pub Date : 2018-07-31 DOI: 10.30579/MBSE.2018.1.2.45

W. Na, C. Lim, Sang Hong Lee

{"title":"Comparison of osteoporotic intertrochanteric fracture fixation using a proximal femoral nail with a helical blade and lag screw type proximal femoral nail","authors":"W. Na, C. Lim, Sang Hong Lee","doi":"10.30579/MBSE.2018.1.2.45","DOIUrl":"https://doi.org/10.30579/MBSE.2018.1.2.45","url":null,"abstract":"Corresponding author Sang Hong Lee Department of Orthopedic Surgery, Chosun University Hospital, 365 Pilmun-daero, Dong-gu, Gwangju 61453, Korea Tel: +82-62-220-3147 Fax: +82-62-226-3379 E-mail: shalee@chosun.ac.kr ORCID: https://orcid.org/0000-0002-2258-1147 The aim of the study was to compare clinical and radiological results between the helical blade lag screw (proximal femoral nail antirotation II [PFNA II]) and the traditional lag screw (Zimmer Natural Nail [ZNN]) in the operative treatment of osteoporotic femur intertrochanteric fractures. We selected 182 patients who could be observed for at least 1 year from among 352 patients who received surgical treatment for osteoporotic isolated femur intertrochanteric fractures between January 2013 and December 2016. The PFNA II was applied in 110 cases, and the ZNN in 72 cases. We evaluated operation time, bleeding amount, quality of reduction, tip apex distance, bone union time, sliding distance, and lag screw position. The mean operation times and bleeding volumes were respectively 38 minutes and 224 mL for PFNA II, and 42 minutes and 234 mL for ZNN. The quality of reduction was good, acceptable, and poor in 71%, 25%, and 4% for PFNA II, and 68%, 31%, and 1% for ZNN, respectively. The mean tip apex distances, bone union times, and sliding distances were respectively 21.1 and 20.7 mm, 12.4 and 12.9 weeks, and 4.2 and 3.9 mm. The lag screw position was acceptable and poor in 95% and 5% for PFNA II, and 97% and 3% for ZNN, respectively. The design of the lag screw did not influence the surgical outcome in the osteoporotic isolated femur intertrochanteric fractures. Therefore, choice of the proximal femoral nail can safely be made according to surgeon preference.","PeriodicalId":259565,"journal":{"name":"Medical Biological Science and Engineering","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121911128","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: 1

Effect of monitored anesthesia care using dexmedetomidine on stress hormones and interleukin-6 in patients undergoing arteriovenous fistula formation 右美托咪定麻醉监护对动静脉瘘形成患者应激激素和白细胞介素-6的影响

Medical Biological Science and Engineering Pub Date : 2018-07-31 DOI: 10.30579/MBSE.2018.1.2.51

Dong Joon Kim, J. Park, In Gook Jee, Sang Hun Kim

{"title":"Effect of monitored anesthesia care using dexmedetomidine on stress hormones and interleukin-6 in patients undergoing arteriovenous fistula formation","authors":"Dong Joon Kim, J. Park, In Gook Jee, Sang Hun Kim","doi":"10.30579/MBSE.2018.1.2.51","DOIUrl":"https://doi.org/10.30579/MBSE.2018.1.2.51","url":null,"abstract":"Surgical procedures, as well as anesthetics, affect stress hormones and proinflammatory cytokines. Therefore, we investigated the effect of two different anesthetic techniques on intraoperative hormonal stress responses and interleukin-6 (IL-6) in patients with chronic renal disease undergoing arteriovenous fistula formation. Eighteen patients aged above 20 years were randomly divided into two groups: group A (n=8) with axillary brachial plexus block and group MAC (n=10) with monitored anesthesia care (MAC) using dexmedetomidine. The levels of epinephrine, norepinephrine, cortisol, glucose, IL-6, and heat shock protein 70 (HSP70) were recorded at pre-anesthesia (T0) and end of surgery (T3). No significant differences in epinephrine and HSP70 were observed between these two groups or within each group. Norepinephrine was significantly decreased in group MAC compared with group A at T3 (p=0.001), but no significant differences were found within each group. The cortisol level in group MAC significantly decreased at T3 compared with T0 (p=0.028). The glucose level in group MAC significantly increased at T3 compared with T0 (p=0.019). No significant differences in IL-6 levels were observed within each group. In conclusion, in this study, neither monitored anesthesia nor regional anesthesia influenced stress hormones and proinflammatory cytokines in patients undergoing arteriovenous fistula formation, but significant changes in cortisol and glucose levels were observed in the group receiving dexmedetomidine.","PeriodicalId":259565,"journal":{"name":"Medical Biological Science and Engineering","volume":"139 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115164462","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: 1

Spontaneous spinal subarachnoid hematoma discovered accidentally 意外发现自发性脊髓蛛网膜下腔血肿

Medical Biological Science and Engineering Pub Date : 2018-07-31 DOI: 10.30579/MBSE.2018.1.2.69

N. S. Cho, Seong Jung Kim, Y. Park, Sun Pyo Kim, K. Sun, S. Cho

引用次数: 0

Revascularization of dysfunctional but viable myocardium needs to be careful about postoperative rhythm disturbance after off-pump coronary artery bypass grafting: an uncontrolled observational retrospective clinical study 非体外循环冠状动脉旁路移植术后功能不全但存活心肌血运重建术需注意术后节律障碍:一项非对照观察性回顾性临床研究

Medical Biological Science and Engineering Pub Date : 2018-07-31 DOI: 10.30579/MBSE.2018.1.2.39

S. Kim, S. Yoon, Kyung Hee Koh, Jung Man Lee

{"title":"Revascularization of dysfunctional but viable myocardium needs to be careful about postoperative rhythm disturbance after off-pump coronary artery bypass grafting: an uncontrolled observational retrospective clinical study","authors":"S. Kim, S. Yoon, Kyung Hee Koh, Jung Man Lee","doi":"10.30579/MBSE.2018.1.2.39","DOIUrl":"https://doi.org/10.30579/MBSE.2018.1.2.39","url":null,"abstract":"Myocardial viability is one of important factors to determine clinical outcomes after off-pump coronary artery bypass grafting. We hypothesized that the revascularization of nonviable myocardium might show the different features of myocardial reperfusion postoperatively as compared with viable myocardium. Patients who underwent off-pump coronary artery bypass grafting for 2 years were retrospectively reviewed. Viable group (V group, n=159) and nonviable group (N group, n=24) were divided using preoperative single photon emission-computed tomography. The postoperative complication was evaluated by 1) occurrence of rhythm disturbance (atrial fibrillation/flutter or ventricular tachycardia), 2) use of continuous epinephrine, and 3) intra-aortic balloon pump insertion. Intubation time and intensive care unit (ICU) stay were also documented. Demographic data (gender, age, ejection fraction, and New York Heart Association [NYHA] classification) showed no difference. N group showed higher incidence of rhythm disturbance. Although intubation time showed no difference, ICU stay of N group was longer than V group. Revascularization of non-myocardium was associated with higher incidence of rhythm disturbance and longer ICU stay as compared with viable myocardium.","PeriodicalId":259565,"journal":{"name":"Medical Biological Science and Engineering","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126615289","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