Acute and Critical Care

Acute and Critical Care (ACC) Indexed in Scopus

Review Article

November 29, 2019

Fluid management in perioperative and critically ill patients

Dongho Kang, Kyung Yeon Yoo

Acute Crit Care. 2019;34(4):235-245.

■ Crystalloids are more effective plasma volume expanders than previously believed during general anesthesia and intensive care.
■ The endothelial glycocalyx layer plays an important role in microvascular permeability.
■ The current trend in perioperative and critical care settings is to choose balanced crystalloids over saline or hydroxyethyl starch for volume replacement.

Original Article

November 29, 2019

Effect of a rapid response system on code rates and in-hospital mortality in medical wards

Hong Yeul Lee, Jinwoo Lee, Sang-Min Lee, Sulhee Kim, Eunjin Yang, Hyun Joo Lee, Hannah Lee, Ho Geol Ryu, Seung-Young Oh, Eun Jin Ha, et al.

Acute Crit Care. 2019;34(4):246-254.

■ Rapid response system (RRS) facilitates early intervention for patients with unexpected clinical deterioration.
■ Implementation of an RRS in medical wards resulted in reductions of code rates during RRS operating times and in-hospital mortality.

Original Article

November 29, 2019

The association between the initial lactate level and need for massive transfusion in severe trauma patients with and without traumatic brain injury

Young Hoon Park, Dong Hyun Ryu, Byung Kook Lee, Dong Hun Lee

Acute Crit Care. 2019;34(4):255-262.

■ The lactate level had fair prognostic performance in predicting massive transfusion (MT) in severe trauma patients.
■ The under the curve of lactate level for predicting MT in non-traumatic brain injury (non-TBI) patients was better than that in TBI patients.
■ The mechanism of lactate production in TBI and non-TBI may be different.

Original Article

November 29, 2019

How small is enough for the left heart decompression cannula during extracorporeal membrane oxygenation?

Sua Kim, Jin Seok Kim, Jae Seung Shin, Hong Ju Shin

Acute Crit Care. 2019;34(4):263-268.

■ We performed a left heart decompression with an 8-Fr Mullins sheath, which is a smaller catheter than that usually inserted for the left atrial venting procedure.
■ All seven patients who underwent the procedure were successfully weaned from the extracorporeal membrane oxygenation (ECMO).
■ Even an 8-Fr catheter may be used reliably for left heart decompression in adult patients receiving venoarterial ECMO and expecting left ventricular functional recovery.

Original Article

November 18, 2019

Risk factor, monitoring, and treatment for snakebite induced coagulopathy: a multicenter retrospective study

Yong Jun Jeon, Jong Wan Kim, SungGil Park, Dong Woo Shin

Acute Crit Care. 2019;34(4):269-275.

■ Initial lower cholesterol level may be a risk factor for overt disseminated intravascular coagulation following snakebite.
■ Even if patients do not have apparent symptoms, the risk of coagulopathy should be assessed for at least 4 to 5 days following snakebite.
■ Higher antivenom doses and transfusion of fresh frozen plasma or cryoprecipitate may be unbeneficial for coagulopathic patients without bleeding.

Original Article

November 29, 2019

Lund and Browder chart—modified versus original: a comparative study

Arun Murari, Kaushal Neelam Singh

Acute Crit Care. 2019;34(4):276-281.

■ Calculating burn percentages using the Lund and Browder (LB) chart involves dividing and counting in fractions, which can be difficult.
■ The modified LB chart presented here subdivides each chart region of the body into quadrilaterals of 0.25% each.
■ This subdivision makes calculations much easier and more reliable as the number of shaded quadrilaterals has only to be counted and divided by 4 to determine the total burn area.

Current Issue: Volume 34(4); Nov 2019

Fluid management in perioperative and critically ill patients Dongho Kang, Kyung Yeon Yoo Acute Crit Care. 2019;34(4):235-245. Review Article November 29, 2019 Full text PubReader ePub PDF	Effect of a rapid response system on code rates and in-hospital mortality in medical wards Hong Yeul Lee, Jinwoo Lee, Sang-Min Lee, Sulhee Kim, Eunjin Yang, Hyun Joo Lee, Hannah Lee, Ho Geol Ryu, Seung-Young Oh, Eun Jin Ha, et al. Acute Crit Care. 2019;34(4):246-254. Original Article November 29, 2019 Cited By 1 Full text PubReader ePub PDF
The association between the initial lactate level and need for massive transfusion in severe trauma patients with and without traumatic brain injury Young Hoon Park, Dong Hyun Ryu, Byung Kook Lee, Dong Hun Lee Acute Crit Care. 2019;34(4):255-262. Original Article November 29, 2019 Full text PubReader ePub PDF	How small is enough for the left heart decompression cannula during extracorporeal membrane oxygenation? Sua Kim, Jin Seok Kim, Jae Seung Shin, Hong Ju Shin Acute Crit Care. 2019;34(4):263-268. Original Article November 29, 2019 Full text PubReader ePub PDF
Risk factor, monitoring, and treatment for snakebite induced coagulopathy: a multicenter retrospective study Yong Jun Jeon, Jong Wan Kim, SungGil Park, Dong Woo Shin Acute Crit Care. 2019;34(4):269-275. Original Article November 18, 2019 Full text PubReader ePub PDF	Lund and Browder chart—modified versus original: a comparative study Arun Murari, Kaushal Neelam Singh Acute Crit Care. 2019;34(4):276-281. Original Article November 29, 2019 Full text PubReader ePub PDF
Evidence revealed the effects of rapid response system Jae Hwa Cho Acute Crit Care. 2019;34(4):282-283. Editorial November 29, 2019 Full text PubReader ePub PDF	A successful application of adult polymyxin B-immobilized fiber column hemoperfusion to a neonate with septic shock Young A Kim, Hyungtae Kim, Yu-Mi Kim, Su Eun Park Acute Crit Care. 2019;34(4):284-288. Case Report November 6, 2018 Full text PubReader ePub PDF
Two women presenting aborted sudden cardiac arrest as the first event of mitral valve disease Sua Kim, Jae Min Shim, Seong-Mi Park Acute Crit Care. 2019;34(4):289-293. Case Report November 13, 2018 Full text PubReader ePub PDF

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