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The Benefit of Braille for Successful Weaning off Mechanical Ventilation in Congenital Blindness and Hearing Impairment: A Case Report
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So Young Yang, Yong Seon Choi, Jin Ha Park, Shin Ok Koh
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Korean J Crit Care Med. 2011;26(1):45-48.
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DOI: https://doi.org/10.4266/kjccm.2011.26.1.45
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- To achieve adequate depth of sedation and assess the severity of pain in mechanically ventilated patients in the intensive care unit, appropriate communication with the patients is necessary. Communication is also important for successful weaning from the mechanical ventilator as well as weaning predictors, such as respiratory muscle capacity.
Here, we present a case report of a 39-year-old man with congenial blindness and hearing impairment who successfully weaned off ventilator support using Braille to communicate under an optimal level of sedation and analgesia after septic shock management.
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Stress-induced Cardiomyopathy Following Cesarean Delivery with Hemorrhagic Shock: A Case Report
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Youn Yi Jo, Ja Young Kwon, Yoon Seong Jang, Yong Seon Choi
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Korean J Crit Care Med. 2011;26(1):34-37.
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DOI: https://doi.org/10.4266/kjccm.2011.26.1.34
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- Stress-induced cardiomyopathy is a recently described acute and transient cardiomyopathy with typical left ventricular apical ballooning mimicking the clinical scenario of an acute myocardial infarction. Cesarean delivery causes intense emotional and physical stresses, which may precipitate stress-induced cardiomyopathy. We report a case presenting stress-induced cardiomyopathy occurring during ICU care in the early postpartum period following cesarean delivery.
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Acute Pulmonary Embolism Due to Free-floating Right Atrial Thrombus in a Patient with Multiple Myeloma: A Case Report
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Youn Yi Jo, Yong Seon Choi, Sa Ra So, Shin Ok Koh
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Korean J Crit Care Med. 2011;26(1):24-28.
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DOI: https://doi.org/10.4266/kjccm.2011.26.1.24
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- Although venous thrombosis is one of the most frequent complications of malignant disease including multiple myeloma, massive pulmonary embolism is an uncommon complication. Free-floating intracardiac thrombus has been rarely reported as a cause of acute pulmonary embolism in patients with multiple myeloma. We report a case presenting acute pulmonary embolism due to free-floating right atrial thrombus in a patient with multiple myeloma.
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Hormonal Changes of the Brain-Dead Organ Donors: A 3-Year Experience
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Yong Seon Choi, Sungwon Na, Seung Youn Kang, Shin Ok Koh
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Korean J Crit Care Med. 2008;23(1):30-35.
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DOI: https://doi.org/10.4266/kjccm.2008.23.1.30
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Abstract
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- BACKGROUND
Success of transplantation is critically dependent upon the quality of the donor organ and optimal management. Recently, hormonal replacement therapy has been reported to result in rapid recovery of cardiac function and enable significantly more organs to be transplanted, while some other studies show conflicting results. The aim of this study is to comprehensively evaluate changes in basal circulating hormonal levels of the brain-dead organ donors.
METHODS
We reviewed the records of all brain-dead patients between January, 2004, and June, 2007. Hemodynamic variables, plasma hormone levels were recorded at following time points: admission to the ICU (T1, baseline), 30 minutes (min) after first apnea test (T2), 30 min after second apnea test (T3), before operation for harvesting (T4). Hormonal measurements included cortisol, adrenocorticotrophic hormone, triiodothyronine (T(3)), thyroxine, free thyroxine, thyroid-stimulating hormone, growth hormone, and testosterone.
RESULTS
Nineteen patients were included in this study.
Comparisons of hemodynamic parameters and hormonal levels to baseline values revealed no significant changes throughout the study period. When the patients were divided into 2 groups according to the requirement of norepinephrine (either>0.05 or < or =0.05microgram/kg/min), patients requiring >0.05microgram/kg/min of norepinephrine had T(3) level below the normal range at significantly more time points of measurement (7 vs. 0).
CONCLUSION
In this comprehensive assessment of hormonal levels in brain-dead organ donors, we could not observe any significant changes during the ICU stay. Replacement therapy of T(3) may be considered in patients requiring >0.05microgram/kg/min of norepinephrine.
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Citations
Citations to this article as recorded by  - Alterations in neuroendocrine axes in brain-dead patients
Türkay Akbaş, Ayhan Öztürk
Hormones.2023; 22(4): 539. CrossRef
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