Publications by authors named "Yutaka Mihara"
Acute Med Surg
August 2024
Article Synopsis
- Atomoxetine, a medication for ADHD, can cause serious cardiac complications if overdosed, leading to cases like the one presented here involving venoarterial extracorporeal membrane oxygenation (VA-ECMO) for life-threatening cardiogenic shock.
- A 30-year-old male experienced seizures and severe circulatory failure after a significant atomoxetine overdose, requiring emergency VA-ECMO for resuscitation, alongside other treatments like medication removal and intravenous lipid emulsion.
- The case highlights the need for healthcare providers to be aware of the potentially severe cardiac effects of atomoxetine overdose and underscores the importance of close monitoring and intensive care for patients in critical condition.
Acute Med Surg
March 2024
Article Synopsis
- FibCare is a new testing device designed to quickly measure fibrinogen levels in patients, and this study aimed to evaluate its accuracy in an emergency department setting.*
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- The study analyzed blood samples from 147 patients and found that while FibCare and the traditional Clauss method had a moderate correlation in results, FibCare missed a significant number of hypofibrinogenemia cases.*
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- The findings suggest that although FibCare is compatible with existing methods, healthcare providers should be cautious of its potential to underestimate fibrinogen levels, particularly in trauma patients and severe cases.*
