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  1. Article: Successful management of retropharyngeal hematoma by trans-arterial embolism without intubation.

    Sugiura, Gaku / Takahashi, Hiroyuki / Kodama, Yoshihisa / Nara, Satoshi

    International journal of emergency medicine

    2021  Volume 14, Issue 1, Page(s) 3

    Abstract: Background: Retropharyngeal hematoma can cause suffocation if there is delay in securing the airway by intubation. However, there are also concerns about complications that can arise with intubation; it is still unknown which cases do not require ... ...

    Abstract Background: Retropharyngeal hematoma can cause suffocation if there is delay in securing the airway by intubation. However, there are also concerns about complications that can arise with intubation; it is still unknown which cases do not require intubation.
    Case presentation: An 88-year-old woman slipped and was found prone and was transported to the emergency room. She was alert without any stridor. Physical examination revealed a subcutaneous hematoma in the anterior cervical region. Computed tomography revealed a retropharyngeal hematoma. Angiography and computed tomography angiography showed extravasation from the right costocervical trunk. A radiologist performed trans-arterial embolization, and she had an uneventful course without intubation or developing any complication. She became ambulatory on postoperative day 5.
    Conclusion: Angiography and computed tomography angiography help in early recognition of extravasation in retropharyngeal hematoma, and trans-arterial embolization can help to avoid intubation and its complications.
    Language English
    Publishing date 2021-01-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2411462-5
    ISSN 1865-1380 ; 1865-1372
    ISSN (online) 1865-1380
    ISSN 1865-1372
    DOI 10.1186/s12245-020-00322-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Corynebacterium ulcerans pneumonia treated with venovenous extracorporeal membrane oxygenation: a case report.

    Takahashi, Yoshihiko / Utsumi, Shu / Sugiura, Gaku / Fujizuka, Kenji / Suzuki, Hiroyuki / Nakamura, Mitsunobu

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2022  Volume 126, Page(s) 145–147

    Abstract: We report the first case of airway obstruction due to toxin-producing Corynebacterium ulcerans, successfully managed with venovenous extracorporeal membrane oxygenation (V-V ECMO). A woman aged 73 years who was living with companion animals was intubated ...

    Abstract We report the first case of airway obstruction due to toxin-producing Corynebacterium ulcerans, successfully managed with venovenous extracorporeal membrane oxygenation (V-V ECMO). A woman aged 73 years who was living with companion animals was intubated for pneumonia of unknown origin and treated with an empirical antimicrobial agent. Corynebacterium species were detected in the sputum and treated as commensal bacteria. Subsequently, the patient suddenly could not ventilate because of central airway obstruction caused by pseudomembrane formation. Therefore, V-V ECMO was initiated. Additional mass spectrometry identified the Corynebacterium species as C. ulcerans. After treatment with antitoxin, the patient was successfully weaned from V-V ECMO. Hence, in patients in contact with companion animals who present with respiratory failure and pseudomembrane formation, C. ulcerans pneumonia should be suspected and treated with antitoxin. C. ulcerans pneumonia may result in an inability to ventilate due to pseudomembrane formation. Therefore, treatment strategies including V-V ECMO should be considered in such cases.
    Language English
    Publishing date 2022-09-19
    Publishing country Canada
    Document type Case Reports
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2022.09.024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Delayed retroperitoneal hemorrhage during veno-venous extracorporeal membrane oxygenation: a case report.

    Sugiura, Gaku / Bunya, Naofumi / Yamaoka, Ayumu / Okuda, Hiroki / Saito, Masato / Mizuno, Hirotoshi / Inoue, Hiroyuki / Narimatsu, Eichi

    Acute medicine & surgery

    2019  Volume 6, Issue 2, Page(s) 180–184

    Abstract: Case: There are several reports of retroperitoneal hemorrhage induced by percutaneous femoral cannulation for extracorporeal membrane oxygenation (ECMO). However, there are no reports of delayed retroperitoneal hemorrhage, which develops a few days ... ...

    Abstract Case: There are several reports of retroperitoneal hemorrhage induced by percutaneous femoral cannulation for extracorporeal membrane oxygenation (ECMO). However, there are no reports of delayed retroperitoneal hemorrhage, which develops a few days after ECMO initiation and is unrelated to the ECMO cannulation. Herein, we report a rare case of delayed retroperitoneal hemorrhage during veno-venous extracorporeal membrane oxygenation (VV-ECMO).
    Outcome: A 54-year-old man was referred to our hospital because of severe acute respiratory distress syndrome. We initiated VV-ECMO. The patient had severe delirium and was confined to a long-term supine position to maintain circuit safety. On day 13, computed tomography unexpectedly revealed a large retroperitoneal hemorrhage spreading around the psoas muscle.
    Conclusion: Delayed retroperitoneal hemorrhage can develop during VV-ECMO management a few days after its initiation. Anticoagulant use and forceful muscular strain could be risk factors of delayed retroperitoneal hemorrhage.
    Language English
    Publishing date 2019-01-10
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2751184-4
    ISSN 2052-8817 ; 2052-8817
    ISSN (online) 2052-8817
    ISSN 2052-8817
    DOI 10.1002/ams2.385
    Database MEDical Literature Analysis and Retrieval System OnLINE

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