Publications by authors named "Takehiro Soeda"

Article Synopsis
  • Cerebral vasospasm, a rare complication after transsphenoidal pituitary adenoma surgery, usually appears around 8 days post-op, but this case showed immediate onset.
  • A 38-year-old man had endoscopic surgery for a pituitary tumor, experienced a mild hematoma, and then developed severe symptoms like eye deviation and paralysis only three hours after surgery.
  • Imaging confirmed vasospasm, which was successfully treated with fasudil hydrochloride, highlighting the importance of quick diagnosis and treatment for any signs of vasospasm post-surgery.
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Article Synopsis
  • Septic patients often need mechanical ventilation, and this study investigates the effects of a new ventilation strategy that allows for lower oxygen levels (permissive hypoxia) and avoids high oxygen levels (hyperoxia) on their outcomes.
  • The study compared two groups of adult patients: those treated before the new ventilation policy and those treated after, focusing on factors like ICU mortality and the length of mechanical ventilation and ICU stays.
  • Results showed that while the new strategy didn't lower ICU mortality, it did lead to significantly shorter durations of mechanical ventilation and ICU stays, suggesting potential benefits in terms of resource use and patient recovery.
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Background: Acute type A aortic dissections have an extremely poor prognosis, and cardiac tamponade is a major cause of death in these patients. Here, we describe a case where congenital partial pericardial defect relieved cardiac tamponade caused by ruptured type A aortic dissection.

Case Presentation: A 79-year-old woman was hospitalized after experiencing chest pains and respiratory distress.

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Background: Peripartum cardiomyopathy is an uncommon form of heart failure that occurs in otherwise healthy women during pregnancy or until 5 months postpartum. Here, we report a rare case where a female patient underwent cesarean section after the occurrence of preeclampsia and intrauterine fetal death, and developed peripartum cardiomyopathy following postsurgical respiratory distress. The prompt initiation of inotropic drug and bromocriptine therapy quickly restored cardiac function.

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A 66-year-old man with thrombocytosis was brought to our hospital to undergo removal of a left ventricular thrombus. He had developed cerebral infarction 6 days before presenting to the hospital and suffered from right incomplete hemiparalysis. Blood tests on admission revealed his platelet count to be 124.

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