Publications by authors named "Dae Sang Lee"
Article Synopsis
- *A 65-year-old man sustained severe injuries after being struck by a heavy excavator, including damage to the infrarenal IVC and other associated injuries.
- *Despite challenges in controlling bleeding during surgery, operative techniques and strategies, such as ligating the superficial femoral vein, ultimately helped stabilize the patient for further interventions.
Article Synopsis
- Ultrasound is an effective and accessible tool for diagnosing sternal fractures in trauma patients, thanks to its speed and accuracy, especially at the bedside.
- A study conducted from March 2022 to February 2023 involved 26 patients, with 19 diagnosed with fractures via initial chest CT and 7 without fractures, who underwent ultrasound evaluations.
- The results showed that ultrasound diagnosed 88.5% of sternal fractures and was particularly accurate in patients already confirmed with fractures via CT scans, demonstrating its value as a supplementary diagnostic method.
Article Synopsis
- The study investigates the effectiveness and safety of laparoscopy in treating blunt and penetrating abdominal injuries, addressing previous uncertainties regarding its use in blunt trauma cases.
- Researchers analyzed medical records from a single center over a five-year period, comparing outcomes between patients treated with laparoscopy and those who underwent laparotomy, matching them for demographic factors.
- Results showed that laparoscopy had lower rates of severe complications, shorter ICU stays, and quicker operation times compared to laparotomy, with no missed injuries reported, indicating it is a viable option for stable trauma patients.
Background: Hyperbilirubinemia is a devastating complication in patients admitted to an intensive care unit (ICU). The sequential organ failure assessment (SOFA) score classifies hyperbilirubinemia without further detailed analyses for bilirubin increase above 12 mg/dL. We evaluated whether the level of bilirubin increase in patients with extreme hyperbilirubinemia (total bilirubin ≥ 12 mg/dL) affects and also helps estimate mortality or recovery.
View Article and Find Full Text PDFBackground: The aim of the study is to investigate the coagulation status in trauma patients using thromboelastography and their association with survival and blood transfusion.
Methods: We included 452 trauma patients who visited the trauma center of Uijeongbu St. Mary's Hospital.
Article Synopsis
- * A study involving 314 patients found that the masseter muscle area significantly differed among sarcopenic, obese, and geriatric groups, indicating its relevance in nutritional evaluation.
- * Findings suggest that the masseter muscle area correlates with other nutritional indices, showing promise for its use as an accessible nutritional biomarker in clinical settings.
Clinical impact of massive transfusion protocol implementation in non-traumatic patients.
Transfus Apher Sci
February 2020
Background: Massive transfusion protocol (MTP) has been used to provide plasma and packed red blood cells (pRBCs) rapidly. MTP also has been adapted for non-traumatic patients. The effects of hospital-wide MTP implementation on clinical outcomes were reviewed.
View Article and Find Full Text PDFArticle Synopsis
- The text addresses an error in the article associated with DOI: 10.1371/journal.pone.0211240.
- It provides a correction or clarification regarding specific findings or data presented in that article.
- This update is important for maintaining accuracy and integrity in academic research.
Background: Intensive care unit (ICU) readmission is generally associated with increased hospital stays and increased mortality. However, there are limited data on ICU readmission in critically ill cancer patients.
Method: We conducted a retrospective cohort study based on the prospective registry of all critically ill cancer patients admitted to the oncology medical ICU between January 2012 and December 2013.
Purpose: A task force appointed by the Korean Society of Acute Care Surgery reviewed previously published guidelines on antibiotic use in patients with abdominal injuries and adapted guidelines for Korea.
Methods: Four guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation II instrument. Five topics were considered: indication for antibiotics, time until first antibiotic use, antibiotic therapy duration, appropriate antibiotics, and antibiotic use in abdominal trauma patients with hemorrhagic shock.
Benign paroxysmal positional vertigo (BPPV) is a comorbid condition prevalent in patients recovering from trauma. Due to the paucity of studies investigating the etiology of this condition, the present study sought to analyze the high-risk group of BPPV patients following trauma.Trauma patients visiting the emergency department from January to December 2016 were enrolled.
View Article and Find Full Text PDFDelirium is a common complication of vascular surgery. The protective effect of preoperative statins on delirium after vascular surgery is controversial. The authors hypothesized that preoperative statin administration would decrease the incidence of delirium after vascular surgery.
View Article and Find Full Text PDFPurpose: In patients with cervical spinal cord injury (CSCI), respiratory compromise and the need for tracheostomy are common. The purpose of this study was to identify common risk factors for tracheostomy following traumatic CSCI and develop a decision tree for tracheostomy in traumatic CSCI patients without pulmonary function test.
Methods: Data of 105 trauma patients with CSCI admitted in our institution from April, 2008 to February, 2014 were retrospectively analyzed.
Background: Obesity might be associated with disturbance of cannulation in situation of extracorporeal cardiopulmonary resuscitation (ECPR). However, limited data are available on obesity in the setting of ECPR. Therefore, we investigated the association between body mass index (BMI) and clinical outcome in patients underwent ECPR.
View Article and Find Full Text PDFBackground And Objectives: The optimal delivery of enteral nutrition (EN) may improve clinical outcomes in critically ill patients; thus, optimal EN protocols should be developed. The purpose of this study was to evaluate the impact of implementing an EN protocol on the improvement of EN practices and on the clinical outcomes of critically ill patients.
Methods And Study Design: This was a retrospective study with prospectively collected data.
Background: It is not rare for a small-bore feeding tube to be inserted incorrectly into the respiratory system in critically ill patients. Thus, monitoring is necessary to prevent respiratory malplacement of the tube. We investigated the utility of capnographic monitoring to prevent respiratory complications due to feeding tube mispositioning in critically ill patients.
View Article and Find Full Text PDFSurgical Outcomes of a Modified Infarct Exclusion Technique for Post-Infarction Ventricular Septal Defects.
Korean J Thorac Cardiovasc Surg
December 2015
Background: Postinfarction ventricular septal defects (pVSDs) are a serious complication of acute myocardial infarctions. The aim of this study was to analyze the clinical outcomes of the surgical treatment of pVSDs.
Methods: The medical records of 23 patients who underwent operations (infarct exclusion in 21 patients and patch closure in two patients) to treat acute pVSDs from 2001 to 2011 were analyzed.
Background: Extracorporeal cardiopulmonary resuscitation (ECPR) requires urgent decision-making and high-quality skills, which may not be uniformly available throughout the week. Few data exist on the outcomes of patients with cardiac arrest who receive in-hospital ECPR on the weekday versus weekend. Therefore, we investigated whether the outcome differed when patients with in-hospital cardiac arrest received ECPR during the weekend compared with a weekday.
View Article and Find Full Text PDFObjectives: The objective of this observational study was to evaluate whether early intervention was associated with improved long-term outcomes in critically ill patients with cancer.
Design: Retrospective analysis with prospectively collected data.
Setting: A university-affiliated, tertiary referral hospital.
Background: Extracorporeal cardiopulmonary resuscitation (ECPR) refers to use of extracorporeal membrane oxygenation (ECMO) in cardiopulmonary arrest. Although ECPR can increase survival rates after cardiac arrest, it can also result in poor post-resuscitation neurological status. Thus, we investigated predictors of good neurological outcomes after successful ECPR.
View Article and Find Full Text PDFPurpose: The risk factors for acquiring an infection with multidrug-resistant (MDR) bacteria in patients with anastomotic leakage after colorectal cancer surgery are poorly understood. We evaluated the risk factors associated with the initial acquisition of MDR pathogens in patients with anastomotic leakage after colorectal cancer surgery.
Methods: This study was a retrospective review of prospectively collected data at a university affiliated-tertiary referral hospital in South Korea.
Article Synopsis
- An intensivist can significantly impact patient survival rates in the ICU, as shown in a study comparing outcomes before and after implementing intensivist-directed care in a surgical ICU.
- The study included 441 patients and found that ICU mortality decreased from 11.7% to 6.3% and 90-day mortality significantly reduced after the intensivist was introduced.
- Other positive outcomes included improvements in ICU-free days, shorter hospital stays, and reduced readmission rates, indicating that intensivist involvement leads to better overall patient care.