Anesthesia and pain medicine最新文献_第7页

C-reactive protein-to-albumin ratio is a predictor of 1-year mortality following liver transplantation. c反应蛋白与白蛋白比率是肝移植术后1年死亡率的预测指标。

Anesthesia and pain medicine Pub Date : 2022-10-01 Epub Date: 2022-10-24 DOI: 10.17085/apm.22176

Kyoung-Sun Kim, Hye-Mee Kwon, Jae Hwan Kim, Ji-Woong Yang, In-Gu Jun, Jun-Gol Song, Gyu-Sam Hwang

{"title":"C-reactive protein-to-albumin ratio is a predictor of 1-year mortality following liver transplantation.","authors":"Kyoung-Sun Kim, Hye-Mee Kwon, Jae Hwan Kim, Ji-Woong Yang, In-Gu Jun, Jun-Gol Song, Gyu-Sam Hwang","doi":"10.17085/apm.22176","DOIUrl":"https://doi.org/10.17085/apm.22176","url":null,"abstract":"Background: Considering the importance of the inflammatory status of recipients on outcomes following liver transplantation (LT), we investigated the association between C-reactive protein-to-albumin ratio (CAR) and one-year mortality following LT and compared it with other parameters reflecting patients' underlying inflammatory status.Methods: A total of 3,614 consecutive adult LT recipients were retrospectively evaluated. Prognostic parameters were analyzed using area under the receiver operating characteristic curve (AUROC) analysis, and subsequent cutoffs were derived. For survival analysis, Cox proportional hazards and Kaplan-Meier analyses were performed.Results: The AUROC for CAR to predict one-year mortality after LT was 0.68 (0.65-0.72), which was the highest compared with other inflammatory parameters, with the best cutoff of 0.34. A CAR ≥ 0.34 was associated with a significantly higher one-year mortality rate (13.3% vs. 5.8 %, log-rank P < 0.001) and overall mortality rate (24.5% vs. 12.9%, log-rank P = 0.039). A CAR ≥ 0.34 was an independent predictor of one-year mortality (hazard ratio, 1.40 [1.03-1.90], P = 0.031) and overall mortality (hazard ratio 1.39 [1.13-1.71], P = 0.002) after multivariable adjustment.Conclusions: Preoperative CAR (≥ 0.34) was independently associated with a higher risk of one-year and overall mortality after LT. This may suggest that CAR, a simple and readily available biomarker, maybe a practical index that may assist in the risk stratification of liver transplantation outcomes.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"420-428"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/3d/apm-22176.PMC9663950.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40440121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Critical incidents associated with pediatric anesthesia: changes over 6 years at a tertiary children's hospital. 与儿科麻醉相关的危重事件:一家三级儿童医院6年来的变化

Anesthesia and pain medicine Pub Date : 2022-10-01 Epub Date: 2022-09-22 DOI: 10.17085/apm.22164

Sung-Ae Cho, Ji-Hyun Lee, Sang-Hwan Ji, Young-Eun Jang, Eun-Hee Kim, Hee-Soo Kim, Jin-Tae Kim

{"title":"Critical incidents associated with pediatric anesthesia: changes over 6 years at a tertiary children's hospital.","authors":"Sung-Ae Cho, Ji-Hyun Lee, Sang-Hwan Ji, Young-Eun Jang, Eun-Hee Kim, Hee-Soo Kim, Jin-Tae Kim","doi":"10.17085/apm.22164","DOIUrl":"https://doi.org/10.17085/apm.22164","url":null,"abstract":"Background: Sustained interest is needed in the characteristics of critical incidents in pediatric anesthesia and related changes, for determining the causes and degree of potential harm; this will also improve the quality of medical care. This study aimed to analyze the incidence of critical incidents recorded in 2014-2019, and to compare them with those in 2008-2013.Methods: Critical incidents associated with pediatric anesthesia, including cardiac arrest, recorded in a voluntary departmental reporting system between January 2014 and December 2019 were compared with those reported between January 2008 and August 2013 using chi-square test.Results: We identified 295 (0.55%) critical incidents from 53,541 cases of pediatric anesthesia (3,471 cardiothoracic surgeries); this is consistent with the previously reported incidence of 0.46%. Among the critical incidents, the incidences of adverse events, sentinel event, near miss case and no-harm events were 93.9%, 1.7%, 0%, and 6.1% in 2014-2019, whereas those were 98.3%, 2.6%, 1.7%, and 0% in 2008-2013 (P = 0.023, 0.686, 0.080, and < 0.001, respectively). Cardiac arrest accounted for 25 (8.5%) cases of the 295 critical events, which significantly lower than that previously reported (18.3%; P = 0.020). Human factor-related events accounted for 61.0% of all critical incidences; this was similar to the previous data (58.5%).Conclusions: Over six years, there has been no significant difference in the total incidence of critical events. Despite the decrease in the incidence of serious critical events, perioperative care in pediatric anesthesia can be further improved.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"386-396"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/e3/apm-22164.PMC9663956.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40440117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Percutaneous epidural balloon neuroplasty: a narrative review of current evidence. 经皮硬膜外球囊神经成形术：现有证据综述。

Anesthesia and pain medicine Pub Date : 2022-10-01 Epub Date: 2022-10-26 DOI: 10.17085/apm.22237

Doo-Hwan Kim, Jin-Woo Shin, Seong-Soo Choi

{"title":"Percutaneous epidural balloon neuroplasty: a narrative review of current evidence.","authors":"Doo-Hwan Kim, Jin-Woo Shin, Seong-Soo Choi","doi":"10.17085/apm.22237","DOIUrl":"10.17085/apm.22237","url":null,"abstract":"Percutaneous epidural balloon neuroplasty (PEBN) can be used to perform balloon decompression combined with percutaneous epidural neuroplasty (PEN), leading to significant pain relief and functional improvement in patients with lumbar spinal stenosis. Several studies have demonstrated the effectiveness of PEBN and supported its relatively long-term outcomes (at least 6 months, sustained for up to 12 months). Balloon neuroplasty appears to be superior to conventional PEN. Moreover, it has been shown to be effective in patients unresponsive to conventional PEN or in those with post lumbar surgery syndrome. In addition, balloon neuroplasty achieved successful outcomes regardless of the approach used, such as retrodiscal, transforaminal, contralateral interlaminar, or caudal. Chronic lumbar radicular pain without back pain, neurogenic claudication, and minimal neuropathic component were favorable predictors of successful PEBN from a symptomatic perspective. A short duration of pain after lumbar surgery, lumbar foraminal stenosis caused primarily by degenerative disc, mild foraminal stenosis, and perineural adhesion by degenerative discs were associated with successful outcomes of PEBN from pathological aspects. Ballooning ≥ 50% of the target sites and complete contrast dispersion after ballooning seemed to be crucial for successful outcomes from a technical perspective. In addition, PEBN was effective regardless of the accompanying redundant nerve roots or a mild degree of spondylolisthesis. Studies on balloon neuroplasty have reported occasional minor and self-limiting complications; however, no PEBN-related significant complications have been reported. Given the present evidence, balloon neuroplasty appears to be a safe and effective procedure with minimal complications for the treatment of lumbar spinal stenosis.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"361-370"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/b2/apm-22237.PMC9663944.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40437609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Temporary postoperative myocardial injury and long-term survival in liver transplant patients with coronary artery disease. 冠状动脉疾病肝移植患者术后暂时性心肌损伤与长期生存。

Anesthesia and pain medicine Pub Date : 2022-10-01 Epub Date: 2022-10-26 DOI: 10.17085/apm.22167

Hye-Mee Kwon, Jae Hwan Kim, Ji-Woong Yang, Gyu-Sam Hwang

{"title":"Temporary postoperative myocardial injury and long-term survival in liver transplant patients with coronary artery disease.","authors":"Hye-Mee Kwon, Jae Hwan Kim, Ji-Woong Yang, Gyu-Sam Hwang","doi":"10.17085/apm.22167","DOIUrl":"https://doi.org/10.17085/apm.22167","url":null,"abstract":"Background: Coronary artery disease (CAD) is increasing worldwide due to the aging population and cardiometabolic syndrome. However, the extent of postoperative myocardial injury, the most common cause of death during the 30 days after noncardiac surgery, remains unclear with respect to liver transplant (LT) patients with CAD. We examined the link between post-LT high sensitivity cardiac troponin I (hs_cTnI) and long-term survival according to liver disease severity.Methods: Consecutive patients who underwent LT (n = 3,220) from 2010 to 2020 were evaluated retrospectively. CAD was defined as a history of coronary artery bypass surgery or percutaneous intervention, or previous myocardial infarction. Peak hs_cTnI levels within 30 days post-transplant were compared in patients with and without CAD. The primary endpoint was defined as an all-cause mortality at 12 years following LT. Secondary endpoints include peak hs_cTnI level within post-transplant 30 days and 30-day mortality. Survival analysis was performed using the Kaplan-Meier method.Results: CAD patients (n = 264, 8.2%) had higher peak hs_cTnI levels within 30 days post-LT than those without CAD (median [interquartile]: 0.068 [0.030-0.154] vs. 0.087 [0.037-0.203] ng/ml, respectively; P = 0.004); however, the mortality rate was comparable (14.7% vs. 14.8%, respectively, P = 0.999), at 12 years, and 1.9% vs. 1.1% (P = 0.522) at 30 days, respectively, at 30 days. Subgroup analysis with stratified liver disease severity identified a similar risk of long-term mortality.Conclusions: Although the peak hs_cTnI level within 30 days was higher in revascularized or treated CAD patients after LT compared those without CAD, long-term mortality rates at 12 years and 30-day mortality rate were comparable.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"404-411"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7d/ec/apm-22167.PMC9663948.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40440119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A randomized double-blind controlled study comparing erector spinae plane block and thoracic paravertebral block for postoperative analgesia after breast surgery. 一项随机双盲对照研究，比较竖脊肌平面阻滞和胸椎旁阻滞对乳房术后镇痛的影响。

Anesthesia and pain medicine Pub Date : 2022-10-01 Epub Date: 2022-09-20 DOI: 10.17085/apm.22157

Aumjit Wittayapairoj, Nattanan Sinthuchao, Ongart Somintara, Viriya Thincheelong, Wilawan Somdee

{"title":"A randomized double-blind controlled study comparing erector spinae plane block and thoracic paravertebral block for postoperative analgesia after breast surgery.","authors":"Aumjit Wittayapairoj, Nattanan Sinthuchao, Ongart Somintara, Viriya Thincheelong, Wilawan Somdee","doi":"10.17085/apm.22157","DOIUrl":"https://doi.org/10.17085/apm.22157","url":null,"abstract":"Background: Thoracic paravertebral block (PVB) is an effective regional block for pain control after breast surgery. However, accidentally puncturing adjacent vital structures may cause undesirable complications. Erector spinae plane block (ESPB) has been considered a safer proxy of PVB for beginners. This study aimed to evaluate the analgesic effects of ultrasound-guidance PVB and ESPB after breast surgery.Methods: This randomized control trial was conducted in patients who underwent mastectomy. Forty-four females were randomly allocated into PVB group or ESPB group. All patients received a block with 20 ml of 0.5% levobupivacaine before general anesthesia. The primary outcome was the 24-h postoperative morphine requirements. The other outcomes of interest were postoperative pain scores, time to first analgesic request, dermatome of sensory blockade, block-related complications, and opioid adverse events.Results: The 24-h morphine requirements were significantly lower in PVB compared to the ESPB group (3.5 ± 3.3 vs. 8.6 ± 3.8 mg, P < 0.001). The overall pain scores were also lower in the PVB group (P < 0.001). Only 14 patients in the PVB group requested additional morphine, whereas all patients in the ESPB group requested it (P = 0.004). The dermatome of sensory blockade was wider in the PVB group (7 vs. 4 levels, P = 0.019). No serious complications occurred in either group.Conclusions: Compared to ESPB, PVB provided lower postoperative opioid requirements, lower pain scores, and wider sensory blockade after mastectomy.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"445-453"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/a4/apm-22157.PMC9663954.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40460481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Five-year all-cause mortality in critically ill liver transplant patients with coronary artery disease: analysis of acute-on chronic liver failure. 危重肝移植合并冠心病患者5年全因死亡率:急性-慢性肝衰竭分析

Anesthesia and pain medicine Pub Date : 2022-10-01 Epub Date: 2022-10-26 DOI: 10.17085/apm.22168

Hye-Mee Kwon, Jae Hwan Kim, Ji-Young Kim, Gyu-Sam Hwang

{"title":"Five-year all-cause mortality in critically ill liver transplant patients with coronary artery disease: analysis of acute-on chronic liver failure.","authors":"Hye-Mee Kwon, Jae Hwan Kim, Ji-Young Kim, Gyu-Sam Hwang","doi":"10.17085/apm.22168","DOIUrl":"https://doi.org/10.17085/apm.22168","url":null,"abstract":"Background: Patients with acute-on-chronic liver failure (ACLF) are critically ill and have high waiting-list mortality. Although studies demonstrated that appropriately treated coronary artery disease (CAD) should not be regarded as a contraindication to liver transplant (LT), data regarding long-term outcomes in critically ill liver LT recipients are lacking. The aim of this study was to compare the rates of all-cause death at 5 years following LT in patients with ACLF with or without CAD.Methods: Between 2010 and 2020, we evaluated 921 consecutive LT patients (MELD score, 32 ± 9) and ACLF classified by CLIF-C ACLF score. Up to 5-year all-cause death according to the CAD status was examined. CAD was defined as a preoperative history of coronary artery bypass graft or a percutaneous intervention and old myocardial infarction. Kaplan-Meier survival analysis was used.Results: Up to 5 years, 212 (23.0%) of all ACLF patients (n = 921) in whom 17 (29.3%) of 58 CAD patients died. In patients with CAD (6.3%, 58/921), the Kaplan-Meier cumulative mortality rate at 5 years was numerically higher but was not statistically significant when compared with those without CAD (32.9% vs. 23.5%, log-rank, P = 0.25). In subgr oup analysis, there were comparable risks of cumulative mortalities at 5 years across the stratification of ACLF grade 1, 2, and 3 (log-rank P = 0.062, P = 0.72, and P = 0.999, respectively).Conclusions: All-cause mortality is high in patients with ACLF after LT but is not related to the presence of revascularized or treated CAD, across the stratification of ACLF grades.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"412-419"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/31/apm-22168.PMC9663955.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40440120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Do cross-food allergies to propofol exist? 异丙酚是否存在跨食物过敏?

Anesthesia and pain medicine Pub Date : 2022-10-01 Epub Date: 2022-10-20 DOI: 10.17085/apm.22195

Carles Espinós Ramírez, Marta Viñas Domingo, Anna Peig Font, Paula Gil Esteller, Maria José Castillo Marchuet, Maria Pilar Saura Foix, Juan Carlos Martín Sanchez, Maria Martinez García

{"title":"Do cross-food allergies to propofol exist?","authors":"Carles Espinós Ramírez, Marta Viñas Domingo, Anna Peig Font, Paula Gil Esteller, Maria José Castillo Marchuet, Maria Pilar Saura Foix, Juan Carlos Martín Sanchez, Maria Martinez García","doi":"10.17085/apm.22195","DOIUrl":"https://doi.org/10.17085/apm.22195","url":null,"abstract":"Background: Propofol is a short and rapidly acting intravenous anesthetic extensively used for the induction and maintenance of general anesthesia. It is a lipid emulsion that contains soybean oil, purified egg phosphatide, and egg lecithin. Therefore, the package leaflet indicates that its administration is contraindicated in patients allergic to soy, eggs, or peanuts. Our study aimed to determine whether patients with proven food allergies are allergic to propofol.Methods: Patients of all ages allergic to soy, eggs, or peanuts who agreed to undergo skin testing for propofol allergies were included. The subjects first underwent a skin test to confirm food allergies. If candidates were negative, they were excluded. If the result was positive, a propofol skin test was performed.Results: Sixty-four patients with confirmed food allergies underwent a propofol skin test. Only one was positive in the propofol skin test (1.6%). The patient was allergic to peanuts and soybeans. These results reinforce the idea that there is no justification for avoiding propofol use in these subjects.Conclusions: Propofol can be safely administered to patients allergic to soy, eggs, or peanuts. We recommend caution in patients with a history of anaphylaxis after ingestion of the above-mentioned foods.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"381-385"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ec/2c/apm-22195.PMC9663949.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40440116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

General anesthesia and sleep: like and unlike. 全身麻醉与睡眠:相似与不同。

Anesthesia and pain medicine Pub Date : 2022-10-01 Epub Date: 2022-10-26 DOI: 10.17085/apm.22227

Jieun Jung, Tae Kim

引用次数: 1

Educational value of spinal injection therapy videos in Korean YouTube for back pain patients. 韩国YouTube上脊椎注射治疗视频对背痛患者的教育价值。

Anesthesia and pain medicine Pub Date : 2022-10-01 Epub Date: 2022-08-01 DOI: 10.17085/apm.22134

Soo Bin Kim, Seung Bae Cho, Hyogyun Choi, Sehun Lim

{"title":"Educational value of spinal injection therapy videos in Korean YouTube for back pain patients.","authors":"Soo Bin Kim, Seung Bae Cho, Hyogyun Choi, Sehun Lim","doi":"10.17085/apm.22134","DOIUrl":"https://doi.org/10.17085/apm.22134","url":null,"abstract":"Background: YouTube, the largest online video platform, has become increasingly popular as a source of health information to patients. The aim of the study was to assess whether Korean patients were well informed about spinal injection from YouTube.Methods: Search for the keyword \"cheog-chu ju-sa\" in Korean language was done, and the quality of the 51 videos with the highest number of views was evaluated independently by two pain management doctors.Results: The averages of global quality scores evaluated by the two doctors were 3.0 and 3.5 and modified DISCERN (mDISCERN) scores were 2.8 and 3.0, respectively. The Kappa statistic between the two doctors' scores was 0.285 and 0.417.Conclusions: The percentage of low-quality videos with a global quality score of 2 or less is 18-36%, which indicated that these videos might provide inaccurate or misleading medical information to the patient. Pain clinic doctors should be wary of medically misleading information available on online platforms, such as YouTube, and strive to create and distribute professional quality educational materials.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"429-433"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/36/apm-22134.PMC9663947.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40440122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Unexpected pulmonary edema and cardiac arrest following wedge resection of spontaneous pneumothorax -A case report. 自发性气胸楔形切除术后意外肺水肿及心脏骤停1例。

Anesthesia and pain medicine Pub Date : 2022-07-01 Epub Date: 2022-06-17 DOI: 10.17085/apm.21116

Woong Han, Gyu Seong Kim, Jong Min Lee, Chang Mook Lim, Hong Seuk Yang, Chang Yeong Jeong, Dong Ho Park

{"title":"Unexpected pulmonary edema and cardiac arrest following wedge resection of spontaneous pneumothorax -A case report.","authors":"Woong Han, Gyu Seong Kim, Jong Min Lee, Chang Mook Lim, Hong Seuk Yang, Chang Yeong Jeong, Dong Ho Park","doi":"10.17085/apm.21116","DOIUrl":"https://doi.org/10.17085/apm.21116","url":null,"abstract":"Background: Reexpansion pulmonary edema is a rare but potentially lethal complication. We report a case of suspected reexpansion pulmonary edema that led to cardiac arrest.Case: A 16-year-old male patient underwent wedge resection due to right pneumothorax. The patient showed pink frothy sputum three hours following surgery, and a chest x-ray showed right unilateral pulmonary edema. Thirteen hours following surgery, the patient continuously showed pink frothy sputum and presented with severe hypoxemia, tachypnea, and tachycardia. After transferring to the intensive care unit (ICU), he developed ventricular tachycardia. Cardiopulmonary resuscitation was performed for 32 min. Chest X-ray showed diffuse bilateral pulmonary edema. Extracorporeal membrane oxygenation was performed. During the 65 days of ICU care, the patient became mentally alert. However, follow-up echocardiography revealed severe heart failure.Conclusions: Rexpansion pulmonary edema can rapidly progress to diffuse bilateral pulmonary edema. Therefore, careful observation is required for the patients who show signs of pulmonary edema after reexpansion.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"298-303"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/be/apm-21116.PMC9346198.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40576566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0