An 82-year-old man with a mycotic aortic aneurysm of the distal arch underwent urgent surgery because of sepsis. The infected aortic arch was excised, replaced with a rifampicin-bonded prosthetic graft, and covered with omentum. Direct hemoperfusion using polymyxin B-immobilized fiber (PMX-DHP) was intraoperatively carried out in parallel with the cardiopulmonary circuit. Intraoperative PMX-DHP...

Acute renal failure (ARF) requiring dialysis is a common complication of patients in intensive care unit (ICU). Dialysis can be performed with either intermittent hemodialysis (IHD) or continuous renal replacement therapy (CRRT). CRRT is associated with less hemodynamic instability. Therefore, it is preferred in critically ill and hypotensive patients in ICU. However, current evidence does not ...

Even in patients with chronic renal failure and chronic intermittent hemodialysis, continuous venovenous hemofiltration (CVVH) is the most often practiced renal replacement technique in the intensive care unit. Although patients show less hemodynamic instability during CVVH than during hemodialysis, it requires a blood flow exceeding 200 ml/min in the extracorporeal circuit necessitating the us...

Splenic metastasis of solid organ tumors is rare; even more so is splenic rupture from metastatic disease. We report a case of a 61-year-old male who presented with splenic rupture and hemodynamic instability, secondary to malignant metastasis from a recently diagnosed left lung cancer.

Gastrointestinal bleeding can result in significant morbidity. Scintigraphy plays an important role in detecting, localizing, and grading the bleed. Effective scintigraphic evaluation of gastrointestinal bleeding can be complicated by its intermittent nature and the patient's hemodynamic instability. Dynamic evaluation, delayed imaging, and an understanding of the labeling process are necessary...

Method We retrospectively reviewed medical records of 398 consecutive patients who underwent isolated elective OPCAB with intention-to-treat base from July 2005 to March 2015. 365 patients underwent successful OPCAB, whereas 24 patients were converted to EBS-CAB due to hemodynamic instability. The early and late clinical outcomes were analyzed and then propensity matched analysis was performed ...

Retinoblastoma is one of the most common ophthalmic neoplasms affecting children worldwide. Since its recent introduction, superselective ophthalmic artery injection of chemotherapy with melphalan has significantly reduced the need for enucleation in patients with advanced disease and also shown to have minimal adverse effects on visual acuity as compared to the conventional therapy. Although n...

BACKGROUND The use of extracorporeal life support (extracorporeal membrane oxygenation [ECMO]) as a direct bridge to heart transplant in adult patients is associated with poor survival. Similarly, the use of an implantable left ventricular assist device (LVAD) to salvage patients with cardiac arrest, severe hemodynamic instability, and multiorgan failure results in poor outcome. The use of LVAD...

OBJECTIVE Critically ill patients sometimes require transport to another location. Longer intra-hospital transport time increases the risk of hemodynamic instability and associated complications. Therefore, reducing intra-hospital transport time is critical. Our objective was to evaluate whether or not a new device the easy tube arrange device (ETAD) has the potential to reduce intra-hospital t...

Extracorporeal removal of drugs and other poisons is occasionally indicated in the management of intoxications. The available modalities include hemodialysis and several methods of continuous renal replacement therapy (CRRT), including continuous venovenous hemofiltration with or without dialysis augmenting drug removal. A growing literature promoting CRRT for extracorporeal removal has been pu...