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The impact of alternative surgical ICU admission on prognosis of critically ill medical patients
( Sooim Shin ),( Sung Soo Park ),( Eun Young Heo ),( Deog Kyeom Kim ),( Hee Soon Chung ),( Jung Kyu Lee ) 대한결핵 및 호흡기학회 2015 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.120 No.-
Background and objective: There are limited data regarding whether alternative admission in geographically distinct intensive care units (ICU) may affect the prognosis in critically ill patients. We aimed to elucidate the impact of surgical ICU admission on prognosis of critically ill patients with medical illness. Methods: We included critically ill patients who had medical illness and admitted to medical or surgical ICU from January 2013 to September 2014. The primary outcome was mortality in ICU or hospital, and the secondary outcomes were ICU or hospital length-of-stay, ICU re-admission rate, and the need for organ support during ICU care. Results: Five hundred twenty one patients were included; 505 patients admitted medical ICU and 16 patients admitted surgical ICU, 64.5% of them were male, their mean age was 67.9 years, and their APACHE II score was 28.4. Patients admitted to surgical ICU tended to have lower mortality rate and longer ICU or hospital length-of-stay compared to those admitted to medical ICU, but these differences did not show statistical significance. In medical patients, admission to surgical ICU instead of medical ICU was not associated with ICU or hospital mortality, ICU or hospital length-of-stay, ICU re-admission rate, and the need for organ support during ICU care. Conclusions: In critically ill patients with medical illness, admission to surgical ICU instead of medical ICU is not significantly associated with the clinical outcomes.
Life-Threatening Complications of Endotracheal Stenting Caused by Respiratory Secretions
Sooim Shin,Ye Jin Lee,Hye Rin Kang,Jin Hwa Song,,Young Sik Park 순천향대학교 순천향의학연구소 2016 Journal of Soonchunhyang Medical Science Vol.22 No.2
Airway stenting has become a common treatment for malignant central airway obstruction. Most airway stents are well tolerated, and life-threatening complications are very rare. Here we describe the case of a life-threatening obstruction due to accumulated respiratory secretions. A 33-year-old man had a massive large cell neuroendocrine carcinoma in the anterior mediastinum, which caused extensive extrinsic compression of the whole trachea. Airway stents were successfully inserted into the whole trachea but 1 week after the procedure, the patient complained of worsening dyspnea due to sticky respiratory secretions accumulated inside the stents. Because the patient could not expectorate a large amount of sticky secretions, frequent bronchoscopic toiletings were performed for 2 months. The stent was well maintained for 7 months till the enlarged tumor causes extrinsic compression because stent revision was performed. About 1 year after the first stent insertion, the patient was admitted to the intensive care unit and intubated because of obstruction of the stent by organized secretions. Fortunately, these secretions were successfully removed and the patient was discharged without any sequelae. Thus, respiratory secretions can cause life-threatening complications after airway stent insertion. Clinicians should be aware of this, and careful examination and close follow-up of such patients are needed.