Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
Add more filters










Database
Language
Publication year range
1.
Blood Purif ; 33(4): 252-6, 2012.
Article in English | MEDLINE | ID: mdl-22472324

ABSTRACT

BACKGROUND: We investigated whether early initiation of hemoperfusion with a polymyxin B cartridge (PMX) after the diagnosis of septic shock could improve the clinical outcome. METHODS: A prospective, open-labeled, multicenter cohort study was performed at intensive care units in Japan. 41 patients received PMX within 6 h after the diagnosis of septic shock (early group) and 51 patients were treated after 6 h (late group). RESULTS: The early group had a significantly shorter duration of ventilator support and also had a lower catecholamine requirement. PMX was effective for improvement of hypotension, hypoperfusion, the sequential organ failure assessment score, and pulmonary oxygenation regardless of the timing of its initiation. The 28-day mortality rate did not differ between the two groups. CONCLUSIONS: Early initiation of PMX shortened the duration of ventilator support and also reduced the catecholamine requirement, so early treatment of septic shock should achieve a better outcome.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Hemoperfusion/methods , Polymyxin B/therapeutic use , Shock, Septic/therapy , Aged , Catecholamines/therapeutic use , Cohort Studies , Female , Humans , Hypotension/therapy , Male , Middle Aged , Prospective Studies , Survival Analysis , Ventilators, Mechanical
2.
Eur J Radiol ; 44(1): 40-3, 2002 Oct.
Article in English | MEDLINE | ID: mdl-12350410

ABSTRACT

A 70-year-old male was admitted to hospital for a liver tumor. We diagnosed that hepatocellular carcinoma (HCC), 1.5 cm in diameter, by several examinations. We performed ultrasonically guided radio-frequency ablation (RFA). Ultrasonography (US) 9 days post-therapy revealed a cystic lesion 1.5 cm in diameter. Color Doppler US revealed color imaging throughout the lesion and dynamic computed tomography (CT) demonstrated an area of hyperattenuation. Intrahepatic pseudoaneurysm was diagnosed. On 14 days post-therapy, no color signals on color Doppler US or enhanced areas on CT were seen. We submit that pseudoaneurysm should be recognized as a complication of radio-frequency ablation.


Subject(s)
Aneurysm, False/etiology , Carcinoma, Hepatocellular/surgery , Catheter Ablation/adverse effects , Liver Neoplasms/surgery , Liver/blood supply , Aged , Aneurysm, False/diagnostic imaging , Carcinoma, Hepatocellular/diagnostic imaging , Humans , Liver/diagnostic imaging , Liver/surgery , Liver Neoplasms/diagnostic imaging , Male , Radiography , Ultrasonography
SELECTION OF CITATIONS
SEARCH DETAIL
...