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Letter to the Editor
Veno-arterial extracorporeal membrane oxygenation may be useful in critically ill COVID-19 patients with suspected cardiac injury
Eunyoung Heo, Se Jin Oh, Hyun Woo Lee, Jung-Kyu Lee, Deog Kyeom Kim, Sang-Won Park
Acute Crit Care. 2020;35(3):223-225.   Published online August 10, 2020
  • 3,979 View
  • 72 Download
Original Article
Effect of Antibiotic Prophylaxis on Early-Onset Pneumonia in Cardiac Arrest Patients Treated with Therapeutic Hypothermia
Soo Jung Kim, Jung Kyu Lee, Deog Kyeom Kim, Jong Hwan Shin, Ki Jeong Hong, Eun Young Heo
Korean J Crit Care Med. 2016;31(1):17-24.   Published online February 29, 2016
  • 5,783 View
  • 114 Download
  • 4 Crossref
AbstractAbstract PDF
Infectious complications frequently occur after cardiac arrest and may be even more frequent after therapeutic hypothermia. Pneumonia is the most common infectious complication associated with therapeutic hypothermia, and it is unclear whether prophylactic antibiotics administered during this intervention can decrease the development of early-onset pneumonia. We investigated the effect of antibiotic prophylaxis on the development of pneumonia in cardiac arrest patients treated with therapeutic hypothermia.
We retrospectively reviewed the medical records of patients who were admitted for therapeutic hypothermia after resuscitation for out-of-hospital cardiac arrest between January 2010 and July 2015. Patients who died within the first 72 hours or presented with pneumonia at the time of admission were excluded. Early-onset pneumonia was defined as pneumonia that developed within 5 days of admission. Prophylactic antibiotic therapy was defined as the administration of any parenteral antibiotics within the first 24 hours without any evidence of infection.
Of the 128 patients admitted after cardiac arrest, 68 were analyzed and 48 (70.6%) were treated with prophylactic antibiotics within 24 hours. The frequency of early-onset pneumonia was not significantly different between the prophylactic antibiotic group and the control group (29.2% vs 30.0%, respectively, p = 0.945). The most commonly used antibiotic was third-generation cephalosporin, and the class of prophylactic antibiotics did not influence early-onset pneumonia.
Antibiotic prophylaxis in cardiac arrest patients treated with therapeutic hypothermia did not reduce the frequency of pneumonia.


Citations to this article as recorded by  
  • Hypothermia as a potential remedy for canine and feline acute spinal cord injury: a review
    Igor Šulla, Slavomír Horňák, Vladimír Balik
    Acta Veterinaria Brno.2022; 91(2): 189.     CrossRef
  • Prophylactic antibiotic use following cardiac arrest: A systematic review and meta-analysis
    Keith Couper, Ryan Laloo, Richard Field, Gavin D. Perkins, Matthew Thomas, Joyce Yeung
    Resuscitation.2019; 141: 166.     CrossRef
  • A review of novel trends in management of canine spinal cord injury
    Igor Šulla, Slavomír Horňák, Valent Ledecký, Vladimír Balik
    Acta Veterinaria Brno.2019; 88(2): 207.     CrossRef
  • Management of post-cardiac arrest syndrome
    Youngjoon Kang
    Acute and Critical Care.2019; 34(3): 173.     CrossRef
Case Report
Successful Management of Tracheobronchomalacia Associated with Empyema Using a Covered Metallic Tracheobronchial Stent: A Case Report
Young Sik Park, Hyo Jae Kang, Yung Jeong Jeong, Sun Mi Choi, Eun Young Heo, Hyeon Jong Moon, Chang Hoon Lee, Hee Soon Chung, Deog Kyeom Kim
Korean J Crit Care Med. 2011;26(2):105-109.
  • 2,707 View
  • 18 Download
AbstractAbstract PDF
Tracheobronchomalacia is developed by excessively weakened walls of the trachea and bronchi, and shows dynamic collapse of the airway on expiration and causes dyspnea. Airway stenting or surgical correction of the airway may be helpful. We report a case with tracheobronchomalacia which was combined with chronic empyema and treated successfully with stent insertion.

ACC : Acute and Critical Care