Patient #1, a 45-year-old man who was being monitored because of chronic pancreatitis, had anicteric cholestasis and pain caused by double-duct stricture. Endoscopic retrograde cholangiopancreatography (ERCP) was undertaken using air, with the patient under general anesthesia with intubation (●" Fig.1). After short sphincterotomies had been done, self-expandingmetal stents were inserted (10mm d...

An 80-year-old woman was diagnosed with hepatocellular carcinoma and underwent transarterial chemoembolization (TACE). The procedure went smoothly without any complications. However, she presented with a dry cough 3 months after the intervention. On physical examination, she did not appear cyanotic. Chest auscultation revealed a minimal crackle sound in the perihilar lung fields; other respirat...

A 75-year-old man had occasionally been referred to our hospital with sudden dyspnea due to unknown causes. He had a history of hypertension and polycystic kidneys and had undergone transcatheter pulmonary vein isolation for paroxysmal atrial fibrillation 2 years previously. Physical examination revealed normal heart sounds without murmurs and was otherwise unremarkable. Electrocardiography, ch...

Recovery of an injured patient depends on several factors, among them, the severity of the injury itself, the primary treatment, and the management of posttrauma complications. Fifty years ago, the severely injured patient died of shock or sepsis; thirty years ago, he died of shock or renal failure. Today, if death is not immediate due to hopeless damage. effective resuscitation from the initia...

The clinical management of pulmonary embolism and deep venous thrombosis of the legs are similar and requires prolonged anticoagulation therapy. The standard diagnostic approach in patients suspected of pulmonary embolism is ventilation-perfusion (V/Q) lung scan and compression ultrasonography to detect deep venous thrombosis. This retrospective study analyzed the role of V/Q lung scan an...

OBJECTIVE To review aspects of hyperbaric medicine pertinent to treating critically ill patients with hyperbaric oxygen in both monoplace and multiplace chambers. DATA SOURCES Literature review of online databases, research repositories, and clinical trial registries. RESULTS The search of these resources produced information regarding technical considerations, feasibility, risk, and patien...

The aim of this study was to compare adverse cardiac events, treatment effectiveness, and long-term effects between local and general anesthesia, administered during different time periods, in patients with massive and sub-massive pulmonary embolism who received pigtail catheter fragmentation. Two groups of patients received pigtail catheter fragmentation at different times: in Group E, 17 pati...

Venous gas embolism is common after laparoscopic surgery but is only rarely of clinical relevance. We present a 52 year old woman undergoing laparoscopic treatment for liver cysts, who also underwent cholecystectomy. She was successfully extubated. However, after a few minutes she developed cardiac arrest due to a venous carbon dioxide (CO2) embolism as identified by transthoracic echocardiogra...

Giant right atrial thrombus in association with a medical device is rare1,2 but when present poses the threat of massive pulmonary embolism. Surgical resection, catheter embolectomy, and thrombolysis are the principal options for management. We present the case of a 60-year-old man with bilateral pulmonary embolism and a 6-cm right atrial thrombus adherent to an implantable cardioverter-defibri...