| Review Articles |
Neurosurgery
The role of catecholamines in aneurysmal subarachnoid hemorrhage: a narrative review |
| Samantha Nalliah, Tariq Janjua, Luis Rafael Moscote-Salazar, Md Yunus, Amit Agrawal |
| DOI: http://doi.org/10.4266/acc.001525 |
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The marked release of catecholamines during subarachnoid hemorrhage is an important aspect of the pathobiology following aneurysmal rupture. This narrative review aims to identify how catecholamines influence aneurysmal subarachnoid hemorrhage (aSAH) outcomes. aSAH is a critical neurological condition characterized by hemorrhage into the subarachnoid space, leading to severe neurological deficits and mortality. Catecholamines, including epinephrine, norepinephrine, and dopamine, are the... |
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Nursing
Implementation of a partnership involving parents in the care of critically ill children: an integrative review |
| Tuti Seniwati, Nani Nurhaeni, Dessie Wanda |
| DOI: http://doi.org/10.4266/acc.001896 |
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The admission of a child to an intensive care unit, such as pediatric or neonatal intensive care units, serves as a significant stressor for parents. This condition is exacerbated when the child undergoes treatment in isolation from their parents. One strategy to address this challenge involves positioning parents at the bedside during the child’s care. This study aimed to identify... |
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| Original Articles |
Pulmonary
Association between nutritional risk scores and timing of endotracheal intubation in COVID-19-associated acute respiratory distress syndrome: a single-center cohort study in South Korea |
| Hyojin Jang, Wanho Yoo, Kwangha Lee |
| DOI: http://doi.org/10.4266/acc.003900 |
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Background: The optimal timing of endotracheal intubation in patients with coronavirus disease 2019 (COVID-19)-associated acute respiratory distress syndrome (ARDS) remains uncertain, and delayed intubation is associated with worse outcomes. Nutritional status, known to affect respiratory function and immune response, may help identify patients at risk of rapid deterioration. This study aimed to evaluate whether nutritional risk scores can predict early... |
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Infection
Association between emergency department–to–intensive care unit transfer time and mortality in patients with septic shock: a target trial emulation with septic shock in South Korea |
| Ji Hyun Cha, Danbee Kang, Ryoung-Eun Ko, Won Young Kim, Dong-gon Hyun, Yeon Joo Lee, Woo Hyun Cho, Sunghoon Park, Juhee Cho, Gee Young Suh, on behalf of the Korean Sepsis Alliance (KSA) investigators |
| DOI: http://doi.org/10.4266/acc.003575 |
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Background: Emergency department (ED) overcrowding poses a global challenge, particularly for critically ill patients requiring intensive care unit (ICU) admission. Although delays in ICU transfer increase mortality in critically ill populations, the optimal timing for septic shock remains uncertain. Methods: We conducted a target trial emulation using a prospective cohort of 815 septic shock patients from 19 Korean hospitals. Delayed ICU... |
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Cardiology
Thoracic fluid content by electrical cardiometry versus diaphragmatic excursion by ultrasound for the prediction of weaning success in patients with lung congestion |
| Shawky Meselhy Elshaer, Ahmed Mostafa Abdelhamid, Enas Wageh Mahdy, Samar Rafik Amin |
| DOI: http://doi.org/10.4266/acc.003984 |
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Background: Predicting the weaning outcomes is critical, since premature or delayed extubation is associated with an increased risk of mortality. This study aimed to compare two physiological indices, thoracic fluid content (TFC) and diaphragmatic excursion (DE), for predicting weaning success in mechanically ventilated patients. Methods: This observational cohort study involved 100 mechanically ventilated patients with congested lungs who were eligible... |
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Cardiology
Utility of procalcitonin in diagnosing early postoperative sepsis after pediatric cardiac surgery in Malaysia |
| Muhammad Yusoff Mohd Ramdzan, Kah Kee Tan, Kok Wai Soo |
| DOI: http://doi.org/10.4266/acc.005016 |
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Background: Systemic inflammation following cardiopulmonary bypass (CPB) can interfere with analysis of routine clinical and biochemical parameters. Procalcitonin (PCT) is a potential biomarker for diagnosing early postoperative sepsis in pediatric patients following cardiac surgery utilizing CPB. This study aimed to evaluate the diagnostic accuracy of PCT compared to other biomarkers, especially C-reactive protein (CRP), in this clinical setting. Methods: A... |
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Anesthesiology
Ultrasound-guided supraclavicular internal jugular vein compression to increase internal jugular vein cross-sectional area in hospitalized patients: a prospective observational study in Japan |
| Masataka Hiruma, Hiroyuki Honda, Shuichiro Kurita, Shunsuke Nukaga, Mitsuhiro Watanabe, Kei Nishiyama |
| DOI: http://doi.org/10.4266/acc.002025 |
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Background: Real-time ultrasound-guided catheterization of the internal jugular vein (IJV) is widely used for its safety and high success rate. However, it becomes difficult when the IJV’s cross-sectional area (CSA) is reduced. A reported technique applies manual pressure (with fingers) to the supraclavicular IJV to impede venous return and enlarge the distal CSA. While effective in previous studies, its clinical... |
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Neurosurgery
Role of serum magnesium in post-aneurysmal subarachnoid hemorrhagic hydrocephalus |
| Moinay Kim, Hyunchul Jung, Seung Bin Kim, Jun Ha Hwang, Hanwool Jeon, Yeongu Chung, Youngbo Shim, Jae Hyun Kim, Joonho Byun, Aiden Cousins, Wonhyoung Park, Jung Cheol Park, Jae Sung Ahn, Seungjoo Lee |
| DOI: http://doi.org/10.4266/acc.003550 |
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Background: Post-hemorrhagic hydrocephalus (PHH) is a frequent complication of aneurysmal subarachnoid hemorrhage (aSAH), yet the relationship between serum magnesium (Mg) level and PHH remains unclear. To our knowledge, this is the first prospective study to specifically examine the association between admission serum Mg level and PHH in aSAH patients. Methods: In this prospective, multicenter study (October 2019–October 2024), 131 patients with... |
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Trauma
Predictive value of elevated interleukin-33 levels for multi-organ dysfunction syndrome in trauma patients in South Korea: a prospective observational study |
| Sanghyun An, In Sik Shin, Myoung Jun Kim, Da Kyung Kim, Md Habibur Rahman, Cheol-Su Kim, Kwangmin Kim |
| DOI: http://doi.org/10.4266/acc.002500 |
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Background: Multi-organ distress syndrome (MODS) causes morbidity in patients with trauma. This study evaluates the effectiveness of interleukin-33 (IL-33), which reflects tissue damage and the inflammatory response, as a MODS indicator in patients with trauma. Methods: Patients with trauma admitted to our trauma center between July 2022 and July 2023 were included. IL-33 levels were measured in blood samples for 4... |
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Pediatrics
Weight variability at pediatric intensive care unit admission and adverse outcomes in critically ill children |
| Jae Hwa Jung, Yoon Hee Kim, Min Jung Kim, Mireu Park, Hamin Kim, Kyung Won Kim, Myung Hyun Sohn, Soo Yeon Kim |
| DOI: http://doi.org/10.4266/acc.001550 |
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Background: Body weight can fluctuate during critical illness due to factors such as fluid shifts, nutritional status, the type of acute illness, and underlying comorbidities. We investigated the association between acute body weight variability (WV) and clinical outcomes in critically ill pediatric patients. Methods: We retrospectively analyzed data from patients aged 1 month to 18 years who were admitted to the... |
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Nursing
Early postoperative 6-minute walk test in cardiac surgery patients: an observational study assessing safety, feasibility, and predictors of completion in India |
| Prasanth Jayaraman, Puvaneswari Kanagaraj, Shrinivas Hittalamani |
| DOI: http://doi.org/10.4266/acc.000050 |
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Background: Early mobilization after cardiac surgery is crucial for enhancing recovery, minimizing complications, and promoting timely discharge. The 6-minute walk test (6MWT) is a validated measure of functional capacity; however, its use during the early postoperative period—particularly in Intensive care Unit (ICU) settings in India—remains underexplored. This study assesses the safety, feasibility, and functional performance outcomes of the 6MWT administered... |
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| Editorial |
Infection
The 6-hour window: is the sepsis transfer guideline enough? |
| Kyeongman Jeon |
| DOI: http://doi.org/10.4266/acc.006000 |
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| Letters to the Editor |
Infection
Comment on “Excessive fluid resuscitation is associated with intensive care unit mortality in Pakistani patients with dengue shock syndrome” |
| Hinpetch Daungsupawong, Viroj Wiwanitkit |
| DOI: http://doi.org/10.4266/acc.002875 |
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Anesthesiology
A case of suspected 2, 4-D ethyl ester poisoning mimicking organophosphate toxicity: a diagnostic and therapeutic challenge |
| Jyothi Koteswara Rao, Sireesha Chilakapati |
| DOI: http://doi.org/10.4266/acc.001250 |
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Ethics
Autonomy versus paternalism: what is the physician’s responsibility in a life-threatening situation? |
| Sunil Kumar Garg, Ahmed Altigany Fadlallah |
| DOI: http://doi.org/10.4266/acc.001650 |
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Basic science and research
Correction and clarification on reported percentage error of estimated continuous cardiac output |
| Ryoichi Ochiai |
| DOI: http://doi.org/10.4266/acc.005225 |
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Nutrition
Response to “Correction and clarification on reported percentage error of estimated continuous cardiac output” |
| Antonio Romanelli, Alessandro Calicchio, Salvatore Palmese, Sabato Pascarella, Bruna Pisapia, Renato Gammaldi |
| DOI: http://doi.org/10.4266/acc.005425 |
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| Correction |
Correction: Estimating resting energy expenditure in critically ill patients: a retrospective exploratory comparison of predictive equations and Fick-derived Weir estimates in Italy |
| Antonio Romanelli, Alessandro Calicchio, Salvatore Palmese, Sabato Pascarella, Bruna Pisapia, Renato Gammaldi |
| DOI: http://doi.org/10.4266/acc.001300.e1 |
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