Commentary: A lymph node mediastinal foreign body reaction mimicking nodal metastasis: a case series Gianluca Franceschini Frontiers in Medicine.2023;[Epub] CrossRef
Yong Nam In, Se Kwang Oh, Jin Hong Min, Jung Soo Park, Yeon Ho You, Insool Yoo, Seung Whan Kim, Jinwoong Lee, Seung Ryu, Won Joon Jeong, Yong Chul Cho, Hong Joon Ahn, Chang Shin Kang
Clin Exp Emerg Med 2023;10(2):241-245. Published online February 24, 2023
Objective In the present study, intracranial pressure (ICP) changes were investigated in out-ofhospital cardiac arrest (OHCA) patients with and without malignant blood-brain barrier (BBB) disruption who underwent target temperature management.
Methods This prospective, single-center, observational study was conducted from June 2019 to December 2021. ICP and albumin quotient values were measured on days 1, 2, 3, and 4 of hospitalization. Malignant BBB disruption was defined as the sum of scores for the degree of BBB disruption ≥9 on days 1 to 4.
Results ICP in OHCA patients without malignant BBB disruption on days 1, 2, 3, and 4 of hospitalization was 9.58±0.53, 12.32±0.65, 14.39±0.76, and 13.88±0.87 mmHg, respectively, and in OHCA patients with malignant BBB disruption 13.65±0.74, 15.72±0.67, 16.10±0.92, and 15.22±0.87 mmHg, respectively (P<0.001, P<0.001, P=0.150, and P=0.280, respectively). The P-values of changes in ICP between days 1 and 2, days 2 and 3, and days 3 and 4 of hospitalization in OHCA patients without malignant BBB disruption were P<0.001, P=0.001, and P=0.540, respectively, and in OHCA patients with malignant BBB disruption were P=0.002, P=0.550, and P=0.100, respectively.
Conclusion Among OHCA patients treated with target temperature management, ICP was higher on days 1 and 2 of hospitalization and an increase in ICP occurred earlier with malignant BBB disruption than without malignant BBB disruption.
Citations
Citations to this article as recorded by
The agreement between jugular bulb and cerebrospinal fluid lactate levels in patients with out-of-hospital cardiac arrest Jung Soo Park, Yeonho You, Changshin Kang, Wonjoon Jeong, Hong Joon Ahn, Jin Hong Min, Yong Nam In, So Young Jeon Scientific Reports.2024;[Epub] CrossRef
Alteration in cerebrospinal fluid flow based on the neurological prognosis of out-of-hospital cardiac arrest patients So-Young Jeon, Yeonho You, Changshin Kang, Jung Soo Park, Wonjoon Jeong, Hong Joon Ahn, Jin Hong Min, Yong Nam In, In Ho Lee Scientific Reports.2024;[Epub] CrossRef
Optimizing brain protection after cardiac arrest: advanced strategies and best practices Ida Giorgia Iavarone, Katia Donadello, Giammaria Cammarota, Fausto D’Agostino, Tommaso Pellis, Erik Roman-Pognuz, Claudio Sandroni, Federico Semeraro, Mypinder Sekhon, Patricia R. M. Rocco, Chiara Robba Interface Focus.2024;[Epub] CrossRef
Quantification of Cerebral Vascular Autoregulation Immediately Following Resuscitation from Cardiac Arrest Yucheng Shen, Qihong Wang, Hiren R. Modi, Arvind P. Pathak, Romergryko G. Geocadin, Nitish V. Thakor, Janaka Senarathna Annals of Biomedical Engineering.2023; 51(8): 1847. CrossRef
Time-course relationship between cerebrospinal fluid and serum concentrations of midazolam and albumin in patients with cardiac arrest undergoing targeted temperature management Jong-il Park, Changshin Kang, Wonjoon Jeong, Jung Soo Park, Yeonho You, Hong Joon Ahn, Yongchul Cho, So Young Jeon, Jin Hong Min, Yong Nam In Resuscitation.2023; 189: 109867. CrossRef
Differences in Cerebral Metabolism between Moderate- and High-Severity Groups of Patients with Out-of-Hospital Cardiac Arrest Undergoing Target Temperature Management Yeonho You, Changshin Kang, Wonjoon Jeong, Hong Joon Ahn, Jung Soo Park, Jin Hong Min, Yong Nam In, Jae Kwang Lee, So Young Jeon Brain Sciences.2023; 13(10): 1373. CrossRef
Quantitative analysis of early apparent diffusion coefficient values from MRIs for predicting neurological prognosis in survivors of out-of-hospital cardiac arrest: an observational study Jung A. Yoon, Changshin Kang, Jung Soo Park, Yeonho You, Jin Hong Min, Yong Nam In, Wonjoon Jeong, Hong Joon Ahn, In Ho Lee, Hye Seon Jeong, Byung Kook Lee, Jae Kwang Lee Critical Care.2023;[Epub] CrossRef
We report a case of an 83-year-old male patient with massive tuberculous pleural effusion. Percutaneous drainage was performed following a diagnosis of tuberculous pleurisy. Fifteen minutes into the procedure, the patient’s condition deteriorated suddenly, necessitating mechanical ventilatory support. A chest radiograph performed after intubation showed partial collapse of the affected lung with pneumothorax. Despite sufficient air drainage and lung expansion, the patient’s oxygen demand remained high. A repeat chest radiograph performed 30 minutes after chest tube insertion revealed partial expansion of the affected lung and severe infiltrative patterns in the unaffected lung, suggesting contralateral reexpansion pulmonary edema.
First
Prev
