A5052075046- Trauma Management and Diagnosis
- Abdominal Surgery and Complications
- Abdominal Trauma and Injuries
- Trauma and Emergency Care Studies
- Esophageal and GI Pathology
- Traumatic Ocular and Foreign Body Injuries
- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Appendicitis Diagnosis and Management
- Intestinal Malrotation and Obstruction Disorders
- Acute Kidney Injury Research
- Airway Management and Intubation Techniques
- Hemostasis and retained surgical items
- Gallbladder and Bile Duct Disorders
- Restraint-Related Deaths
- Abdominal vascular conditions and treatments
- Surgical Sutures and Adhesives
- Hemophilia Treatment and Research
- Ocular Surface and Contact Lens
- Foreign Body Medical Cases
- Esophageal Cancer Research and Treatment
- Hernia repair and management
- Cardiac, Anesthesia and Surgical Outcomes
- Vascular anomalies and interventions
- Minimally Invasive Surgical Techniques
National Taiwan University Hospital
2002-2023
American Association of Neurological Surgeons
2023
National Taiwan University
2002-2011
Jilin University
2007
Marymount University
2001
Abstract Introduction Abdominal surgery is probably associated with more likelihood to cause acute kidney injury (AKI). The aim of this study was evaluate whether early or late start renal replacement therapy (RRT) defined by simplified RIFLE (sRIFLE) classification in AKI patients after major abdominal will affect outcome. Methods A multicenter prospective observational based on the NSARF ( N ational Taiwan University S urgical ICU ssociated R enal F ailure) Study Group database. 98 (41...
Abstract Introduction Sepsis is the leading cause of acute kidney injury (AKI) in critical patients. The optimal timing initiating renal replacement therapy (RRT) septic AKI patients remains controversial. objective this study to determine impact early or late initiation RRT, as defined using simplified RIFLE (risk, injury, failure, loss function, and end-stage failure) classification (sRIFLE), on hospital mortality among Methods Patient with sepsis requiring RRT surgical intensive care...
The aim of this study was to delineate the learning curve single-port laparoscopic appendectomy for noncomplicated appendicitis.Thirty patients who underwent between July 2009 and June 2010 were compared retrospectively with 30 prior consecutive surgery in three-port manner. Operative duration, number conversions, time resumption oral intake, length hospital stay, complications used as indicators curve.Demographics similar groups. A significant decrease operative duration noted after a...
Hepatic portal venous gas (HPVG) is a rare but potentially lethal condition, especially when it results from intestinal ischemia. Since the literatures regarding prognostic factors of HPVG are still scarce, we aimed to investigate risk factor perioperative mortality in this study.We analyzed data for patients with ischemia induced by chart review our hospital between 2000 and 2007. Factors associated were specifically analyzed.There 22 consecutive receiving definite bowel resection. 13 cases...
Hemostasis is a process causing bleeding to stop, and it known from the literature that hemostasis can be enhanced using chitosan on wound gauzes. We proposed here continuous flow-through device, with test blood flowing through gauze sample at constant flow rate pressure drop across measured, for assessing hemostatic performance of gauze. Experiments were performed device both whole washed (with clotting factors platelets removed blood), their results agree each other within 10% discrepancy,...
We investigated the predictors of mortality in major trauma patients using a registry system database. Data were obtained from level I center for all aged ≥18 years admitted to an intensive care unit (ICU) between January 1, 2006 and December 31, 2013. Models adjusted patient demographics, injury mechanism, preexisting comorbidity, Glasgow coma scale (GCS), severity score (ISS), emergency department (ED) ICU procedures, surgical complications. Multivariate logistic regression analysis was...
Acute respiratory distress syndrome (ARDS) increases mortality in patients with multiorgan dysfunction (MODS). This study evaluates the feasibility of intrapleural steroid instillation (IPSI) ARDS and MODS unresponsive to conventional extracorporeal membrane oxygenation (ECMO). Ninety-two 467 who underwent ECMO between 2005 2009 had ARDS, 30 consecutive adult these 92 severe were retrospectively analyzed this study. Nine patients, did not respond therapy whose condition deteriorated, managed...
A 43-year-old man with a 1-month history of intermittent cramping upper abdominal pain visited our emergency department because sudden onset fever and chills. He had not previously any underlying disease. On his arrival, physical examination revealed shortness breath hypotension tachycardia. Laboratory data demonstrated leukocytosis left shifting. Arterial blood gas measurement metabolic acidosis. Elevated transaminases were noted. Contrast-enhanced axial computed tomography (CT) disclosed...
Anastomotic leaks significantly affect hospital stay after esophageal surgery. Here, we investigated the efficacy of early endoscopy for predicting anastomotic healing and reconstruction.A total 65 consecutive cancer patients treated by cervical esophagogastrostomy underwent routine between postoperative days 5 7. The anastomosis was scored degree ischemia, stenosis, torsion axis. Independent associations proximal esophagus risk leak were examined using Spearman's rank correlation...
A traumatic abdominal wall hernia (TAWH) caused by a handlebar collision is very rare. It difficult for the emergency physician to exclude possibility of mesenteric or intestinal injuries when viewing trauma. Because TAWH may have no other clinical symptoms, early recognition and differentiation from haematoma important. An unusual case injury reported, where multi-layer muscular defect was found along with segment incarcerated jejunum omentum. The latest literature reviewed, valuable ideas...
IntroductionStudies on the assessment of quality life patients with trauma are scarce. This study aimed to develop a trauma-specific measure provide reliable and valid quality-of-life information in cohort rib fractures.Materials MethodsData were collected using 36-Item Short Form Survey (SF-36) follow-up period 6 months. The 12-Item (SF-12) scores extracted from SF-36. Generalized estimating equations used evaluate longitudinal change each item. Factor analysis was performed assess factor...
Because of the well-developed abdominal musculature, possibility injury retroperitoneal organs such as duodenum is not high that in children. Adult cases isolated traumatic duodenal rupture caused by bicycle handlebar are extremely rare. We report a patient who experienced persistent pain after having injury. Since hard to identify, computed tomography performed confirm diagnosis. also present management flow chart help physicians managing injuries adults. (Hong Kong j.emerg.med. 2015;22:113-117)
Massive malignant hemothorax (MMH) is a rare and serious complication encountered in the field of oncology can be life threatening. It often difficult complex to manage. Herein, we present cases four patients who had MMH whom was successfully stopped via continuous intrapleural irrigation with epinephrine (5-mg epinephrine/1,000-mL normal saline, infused at 100 mL/h) instead conventional surgical approach. Although no patient deaths were attributed intractable bleeding, two related multiple...