Publications by authors named "Takashi Toyohara"
Article Synopsis
- Extracorporeal cardiopulmonary resuscitation (ECPR) is used for patients in cardiac arrest, but it can lead to vascular complications, prompting the need for improved methods.
- This study compared two groups of patients undergoing ECPR: those treated in the emergency department (ED) without fluoroscopy and those transferred to a fluoroscopy room for treatment.
- Results showed that using fluoroscopy significantly reduced vascular complications without increasing the time it took to start ECPR, highlighting its potential benefits in emergency situations.
Aim: To elucidate the effectiveness of extracorporeal membrane oxygenation (ECMO) in accidental hypothermia (AH) patients with and without cardiac arrest (CA), including details of complications.
Methods: This study was a multicentre, prospective, observational study of AH in Japan. All adult (aged ≥18 years) AH patients with body temperature ≤32 °C who presented to the emergency department between December 2019 and March 2022 were included.
Background: Time is a crucial factor for the successful early management of the multi-trauma patient. Hybrid operating theaters, which support the integration of surgical treatment and interventional radiology, provide opportunities to reduce the time-to-surgery for life threatening conditions.
Case Presentation: We describe the early successful treatment of a 54-year-old male who sustained multiple injuries when he was hit by a 1000 kg bale of wheat that fell from a height.
Background: Tension gastrothorax is a kind of obstructive shock with prolapse and distention of the stomach into the thoracic cavity. Progressive gastric distension leads to mediastinal shift, reduced venous return, decreased cardiac output, and ultimately cardiac arrest. Therefore, it is crucial to decompress the stomach distension for the initial resuscitation of tension gastrothorax.
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