박치민 교수

BACKGROUND: Non-occlusive mesenteric ischemia (NOMI) is a life-threatening acute condition that has an overall in-hospital mortality rate of up to 75%. Critically ill patients are often admitted to intensive care units (ICUs) due to shock, and these patients are frequently at risk of developing NOMI. The objective of this study was to determine the clinical features of critically ill patients with NOMI and evaluate the risk factors for in-hospital mortality among these patients. METHODS: We revi

Implementing intensivist-directed care in the surgical ICU was associated with significant improvements in ICU mortality and significant clinical outcomes.

BACKGROUND: Hyperbilirubinemia is a devastating complication in patients admitted to an intensive care unit (ICU). The sequential organ failure assessment (SOFA) score classifies hyperbilirubinemia without further detailed analyses for bilirubin increase above 12 mg/dL. We evaluated whether the level of bilirubin increase in patients with extreme hyperbilirubinemia (total bilirubin ≥ 12 mg/dL) affects and also helps estimate mortality or recovery. METHODS: A retrospective cohort analysis compris

BACKGROUND: It is not rare for a small-bore feeding tube to be inserted incorrectly into the respiratory system in critically ill patients. Thus, monitoring is necessary to prevent respiratory malplacement of the tube. We investigated the utility of capnographic monitoring to prevent respiratory complications due to feeding tube mispositioning in critically ill patients. METHODS: This study was a pre and post-interventional study, including 445 feeding tube placements events studied retrospectiv

A comprehensive ASP decreased the use of APBL and was associated with improved patient outcomes.

After implementation of multidisciplinary care bundle, the compliance of each component was increased and rates of SSIs were significantly decreased compared to those before the quality improvement project.

Postoperative complications increase mortality and reduce quality of life after surgery (1). Recently, numbers of elderly patients with severe comorbidity who are in need of a surgical service have increased, as well as the numbers of patients who are at risk of postoperative complications (2). Thus, health care systems should strive to reduce postoperative complications and mortality by improving postoperative care after elective surgery (1,3).

Malnutrition is associated with poor clinical outcomes in critically ill surgical patients and nutritional support has emerged as an important component in the management of these patients. The purpose of this study is to review the general nutritional support in critically ill surgical patients. Enteral nutrition (EN) is found to be the preferred method over parenteral nutrition (PN) for feeding the critically ill patient. EN should be started early within the first 2448 hours after admission a