• Title, Summary, Keyword: cardiopulmonary

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The Change of Derum and Urine Amylase Level Following Cardiopulmonary Bypass in the Patients with Congenital heart disease (선천성 심기형 환아에서 체외순환후 혈청 및 소변 Amylase치의 변화)

  • Baek, Hui-Jong;Kim, Yong-Jin
    • The Korean Journal of Thoracic and Cardiovascular Surgery
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    • v.28 no.10
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    • pp.892-899
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    • 1995
  • Pancreatitis is a known complication of cardiac surgery with cardiopulmonary bypass. Although ischemia is believed to be a factor, the exact cause of pancreatitis after cardiopulmonary bypass remains unknown.We prospectively studied 67 consecutive patients undergoing cardiac surgery with cardiopulmonary bypass for evaluation of the pancreatic injury after cardiopulmonary bypas. Serial measurement of amylase level in serum and urine was done postoperatively. Hyperamylasemia was detected in 15 patients[22.4% , of whom no patient had pancreatitis. There was no significant difference between serum amylase level and parameters such as cardiopulmonay bypass time, aortic cross clamp time, mean blood pressure, rectal temperature, flow rate, and use of circulatory arrest during cardiopulmonary bypass. Hyperamylasuria was detected in 8 patients[11.9% , and urine amylase level was elevated significantly in the groups with prolonged cardiopulmonary bypass, mean blood pressure more than 40mmHg, and rectal temperature more than 20 $^{\circ}$C. We recommend that serum amylase level and/or amylase-creatinine clearance ratio is measured for ealy detection and management of pancreatitis after cardiopulmonary bypass.

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Knowledge and Performance Ability of Cardiopulmonary Resuscitation by the College Students (일 대학 학생의 심폐소생술에 대한 지식과 수행 능력)

  • Choi, Gil-Soon;Kwon, Hay-Rran
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.1
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    • pp.115-127
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    • 2009
  • Purpose : This study is descriptive correlation research aimed to examine knowledge and performance ability of cardiopulmonary resuscitation of student attending the college and provide basic materials in developing cardiopulmonary resuscitation program. Methods : Data collection was conducted with the 1st, 2nd and 3rd grade college students sampled randomly by giving them questionnaire from Sep. 1 to 4, 2008. It used the research instrument used by Choi Hyang Ok(2006) and revised and complemented by the researcher and 200 data excluding questionnaire showing unfaithful responses were used for analysis. Data collected were verified with technical statistics using SPSS/PC(version 12.0), t-test, ANOVA, and Pearson's correlation coefficient. Results : The results of this study are as follows. 1. Subjects' knowledge score of cardiopulmonary resuscitation was average .40(out of 1) and their performance ability score was average 2.39. 2. In the knowledge of cardiopulmonary resuscitation according to subjects' general characteristics, score was higher between over thirty and below twenty in age and in male subjects by sex and there were statistically significant differences(t=3.069, p=.029). 3. In the knowledge of cardiopulmonary resuscitation related to subjects' cardiopulmonary resuscitation, there were statistically significant differences in such variables as 'have you ever heard about cardiopulmonary resuscitation' (t=3.685, p=.000), 'presence or absence of education of cardiopulmonary resuscitation'(t=3.764, p=.000) and 'experience of observing cardiopulmonary resuscitation'(t=4.747, p=.000). In the performance ability of cardiopulmonary resuscitation by subjects, there were also statistically significant differences in such variables as 'have you ever heard about cardiopulmonary resuscitation' (t=2.269, p=.024), 'presence or absence of education of cardiopulmonary resuscitation' (t=3.541, p=.000) and 'experience of observing cardiopulmonary resuscitation' (t=8.118, p=,000). 4. Relation between the knowledge and the performance ability of cardiopulmonary resuscitation showed positive correlations as the more knowledge, the higher performance ability(r=.570, p=.000). Conclusion : Consequently, it was found that the knowledge and the performance ability of cardiopulmonary resuscitation by subjects were below the average and their levels of knowledge and performance ability were varied. Therefore, if 1 : 1 education with theory and practice considering knowledge and performance ability of each student in performing cardiopulmonary resuscitation education with college students is conducted, more lives can be saved by applying cardiopulmonary resuscitation not to be embarrassed when they encounter cardiac arrest case and contribute to the increase of survival of cardiac arrest patients.

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Effect of Cardiopulmonary Physiotherapy on Patients With Percutaneous Coronary Intervention - Systematic Review and Meta-Analysis (경피적 관상동맥 중재술을 받은 환자를 대상으로 심장호흡물리치료에 대한 효과 - 체계적 고찰과 메타분석)

  • Kang, Na-yoon;Park, Beom-seok;Kim, Min-hee
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.63-73
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    • 2019
  • PURPOSE: This study examined the effects of cardiopulmonary physiotherapy on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients with coronary artery disease who underwent percutaneous coronary intervention (PCI). METHODS: Electronic bibliographic databases of a regional information sharing system (RISS) and PubMed were searched to identify studies with randomized and non-randomized controlled trials. As the final outcome, 320 publications were identified and 18 studies met the inclusion and exclusion criteria. All studies were assessed for the quality of study using Cochrane's risk of bias. RESULTS: Sixteen studies met the inclusion criteria, in which meta-analysis had been conducted to examine the effectiveness of cardiopulmonary physiotherapy on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients undergoing PCI. Meta-analysis based on a random effect model showed that the cardiopulmonary physiotherapy was beneficial in improving the cardiopulmonary function, metabolism, inflammatory markers, and quality of life. In particular, there was a significant effect on the peak oxygen uptake (effect size 5.30%; 95% confidence interval 3.62~6.97). Cardiopulmonary physiotherapy for a during period of 6 weeks or more was effective in significantly improving the cardiopulmonary function and metabolism function in a subgroup analysis, but cardiopulmonary physiotherapy for less than 6 weeks was not effective. CONCLUSION: Cardiopulmonary physiotherapy has positive effects on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients undergoing PCI.

A Survey on Awareness of Physical Therapists about Cardiopulmonary Physical Therapy

  • Kang, Jeong-Il;Jeong, Dae-Keun;Choi, Hyun
    • The Journal of Korean Physical Therapy
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    • v.26 no.3
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    • pp.202-208
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    • 2014
  • Purpose: The purpose of this study is to investigate awareness of physical therapists about cardiopulmonary physical therapy and patterns of its use, and to offer materials about how to apply cardiopulmonary physical therapy. Methods: For this study, structured questionnaires were distributed to 158 physical therapists in general hospitals, hospitals, Chinese medicine hospitals and clinics in Cheonnam area who were randomly selected as research subjects. After the questionnaires were handed out to them for 180 days from July to December 2013, they were collected. Results: The results showed that only 14 respondents(25%) knew about the therapeutic intervention of cardiopulmonary physical therapy, while respectively, 57.1% and 17.9% of them responded they didn't know about it well, and they didn't know about it, at all. As a result, physical therapists' awareness about cardiopulmonary physical therapy was at an extremely low level, overall. Moreover, 60.7%, 7.1%, 8.9% and 23.3% of the subjects answered that they obtained knowledge about cardiopulmonary physical therapy from school curriculum, from association seminars, from related books and from other sources, respectively. Conclusion: In conclusion, these results demonstrate that the application or use of cardiopulmonary physical therapy as a physical therapy intervention is quite inadequate, although the necessity for cardiopulmonary physical therapy of physical therapists is being highlighted. Therefore, constant interests and efforts of physical therapists and clinicians would be required for effective use of cardiopulmonary physical therapy, clinical verification and active researches on it.

Adequate Heparin-protamine Neutralization on using Blood Cardioplegic Solution during Extracorporeal Circulation (체외 순환시간의 경과에 따른 Heparin과 Protamine의 적정량에 관한 연구)

  • 변형섭
    • The Korean Journal of Thoracic and Cardiovascular Surgery
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    • v.21 no.2
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    • pp.203-210
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    • 1988
  • The clinical experience with the activated clotting time[A.C.T.] for the control of heparin and protamine therapy during cardiopulmonary bypass in 40 patients between April, 1987 and September, 1987 is reviewed retrospectively. All of patients used with cold blood potassium cardioplegia for myocardial protection under standard cardiopulmonary bypass, priming and perfusate techniques respectively. This study was divided into 2 groups of patients followed by cardiopulmonary bypass time. Twenty patients, within 60 minutes of cardiopulmonary bypass time[group A] were compared with twenty patients, from 60 to 120 minutes of cardiopulmonary bypass time[group B]. Using blood cardioplegia for myocardial protection, Author observed wide variation of A.C.T. in individual response to initial heparinization[2mg /kg] and no requirement of additional heparin during cardiopulmonary bypass until 120 minutes. Total heparin amount during cardiopulmonary bypass was not related to body weight and body surface area in the both groups. After cardiopulmonary bypass, amounts of protamine for neutralization of heparin were more required in group B.

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A Study on Safety and Performance Evaluation of Smart All-in-one Cardiopulmonary Assist Device (스마트올인원 심폐순환보조장치의 안전성 및 성능평가에 관한 연구)

  • Park, Junhyun;Ho, YeJi;Lee, Yerim;Lee, Duck Hee;Choi, Jaesoon
    • Journal of Biomedical Engineering Research
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    • v.40 no.5
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    • pp.197-205
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    • 2019
  • The existing Extracorporeal membrane oxygenation(ECMO) and Cardiopulmonary bypass system(CPB) have been developed and applied to various devices according to their respective indications. However, due to the complicated configuration and difficult usage method, it causes inconvenience to users and there is a risk of an accident. Therefore, smart all-in-one cardiopulmonary circulation device is being developed recently. The smart all-in-one cardiopulmonary assist device consists of a blood pump for cardiopulmonary bypass, a blood oxidizer for cardiopulmonary bypass, a blood circuit for cardiopulmonary bypass, and an artificial cardiopulmonary device. It is an integrated cardiopulmonary bypass device that can be used for a variety of purposes such as emergency, intraoperative, post-operative intensive care, and long-term cardiopulmonary assist, combined with CPB used in open heart surgery and ECMO used when patient's cardiopulmonary function does not work normally. The smart all-in-one cardiopulmonary assist device does not exist as a standard and international standard applicable to advanced medical devices. Therefore, in this study, we will refer to the International Standard for Blood Components, the International Standard for Blood, the Guideline for Blood Products, and prepare applicable performance and safety guidelines to help quality control of medical devices, and contribute to the improvement of the health of people. The guideline, which is the result of conducted a survey of the method of safety and performance test, is based on the principle of all-in-one cardiopulmonary aiding device, related domestic foreign standards, the status of domestic and foreign patents, related literature, blood pump(ISO 18242), blood oxygenator (ISO 7199), and blood circuit (ISO 15676) for cardiopulmonary bypass.The items on blood safety are as follows: American Society for Testing and Materials ASTM F1841-97R17), and in the 2010 Food and Drug Administration's Safety Assessment Guidelines for Medical Assisted Circulatory Devices. In addition, after reviewing the guidelines drawn up through expert consultation bodies including manufacturers / importers, testing inspectors, academia, etc. the final guideline was established through revision and supplementation process. Therefore, we propose guidelines for evaluating the safety and performance of smart all-in-one cardiopulmonary assist devices in line with growing technology.

Effect of Cardiopulmonary Bypass on Platelet (체외순환이 혈소판에 미치는 영향)

  • Choe, Jun-Yeong;Seo, Gyeong-Pil
    • The Korean Journal of Thoracic and Cardiovascular Surgery
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    • v.21 no.1
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    • pp.26-35
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    • 1988
  • The effect of cardiopulmonary bypass on platelet count, platelet function, and bleeding time was studied in 60 patients. Platelet count was significantly reduced during and after cardiopulmonary bypass. Platelet function also had a reduced aggregation response to adenosine diphosphate. Bleeding time was prolonged to over 30 minutes during cardiopulmonary bypass and not returned to normal level until postbypass 1 hour. The amount of postoperative bleeding was proportional to the degree of decrease in platelet count and function, degree of decrease in platelet count and function. There was no significant correlation between duration of cardiopulmonary bypass and platelet count, platelet function, bleeding time, or amount of postoperative bleeding. Patients with cyanotic congenital heart disease showed a larger amount of postoperative bleeding than patients with acyanotic congenital heart disease [P<0.01], and this difference was due to the fact that platelet function was more significantly affected by cardiopulmonary bypass in cyanotic group. Patients using membrane oxygenator showed a less amount of postoperative bleeding than patients using bubble oxygenator [p<0.005] reflecting better preservation of platelet count and function by membrane oxygenator.

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Correlation between Cardiopulmonary System Function and Body Fat by Circuit Training and Ephedra Herba in Taeumin Women (Circuit training과 마황(麻黃) 복용이 태음인 여성의 심폐기능향상과 체지방감소에 미치는 상관성 연구)

  • Park, Sung-Ho;Cho, Hyun-Chol;Choi, Seung-Peom;Song, Yun-Kyung;Lim, Hyung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.15 no.1
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    • pp.39-65
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    • 2005
  • Objectives : This study was aimed to find out correlation of relation between cardiopulmonary function and body fat. Methods : We studied tendency of change of cardiopulmonary function and body fat for medication of Ephedrae Herba capsule by ergogenic aids with circuit training. We got the results for Exercise stress test and Segmental Bioelectrical Impedence Analysis. Results : 1. Sample Group of Ephedrae Herba medication and Circuit training generally showed the insignificant improvement of Body composition, but Control Group of Placebo and Circuit training significantly(p<.05) showed significant improvement of Body composition. 2. Sample Group of Ephedrae Herba medication and Circuit training generally showed the significant improvement of cardio-pulmonary function. Control Group of Placebo and Circuit training showed insignificant elevation of Cardiopulmonary function. 3. In the case of Sample Group, there wasn't closely correlation relationship of improvement of cardiopulmonary function and body composition, but in the case of Control Group, there was closely correlation relationship of improvement of cardiopulmonary function and body composition. Conclusions : It might be recognized that cardiopulmonary function has the correlation of body composition, and Ephedrae Herba might help the reduction of Body Fat by elevation of Cardiopulmonary function for ergogenic aids and it might be needed further study In various viewpoints.

Review of Analysis of the Effect of Tai Chi Exercise on Blood Pressure and Cardiopulmonary Function (타이치 운동이 혈압과 심폐기능에 미치는 영향에 대한 논문 분석)

  • Eun, Young;Lee, Hea-Young;Choi, Jung-Hyun;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.12 no.2
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    • pp.132-142
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    • 2005
  • Purpose: The purpose of this study is to analyze the effect of Tai Chi exercise on Cardiorespiratory function and to identify directions for future research. Method: 19 articles from Medline search of english journals(1981-2004) and 2 from Korean nursing journals were surveyed. The contents analysis were focused on outcome measures and relative factors regarding cardiopulmonary function. Results: There are 21 articles including 8 articles with quasi experimental design, 7 articles with randomized controlled design and 6 articles with comparative non experimental research design. The major subjects of research were older adults, but hypertensive patients, cardiac rehabilitative patient, and osteoarthritic patient also included. The major style of Tai Chi was Yang style with 108-form. The duration of Tai Chi exercise was from 12weeks to 13.2 years in comparative non experimental studies, but 6 weeks to 16weeks in randomized controlled experimental studies. The most effective duration for cardiopulmonary function was over 16weeks. The variables for cardiopulmonary function were blood pressure, heart rate and cardiopulmonary function via $VO_2$ max(ml/kg/min). To reduce the blood pressure in the result was found in 2 articles, to reduce the heart beat was found in 1 article, to improve the cardiopulmonary function via $VO_2$ max in results were found in 7 articles(73%) among 11 articles. Conclusion: The Tai Chi exercise over 16weeks improves the cardiopulmonary function. It is suggested that to verify the effect of Tai Chi on cardiopulmonary function, the difference of gender, age, health status will be identified through repeated experiments.

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Awareness, Attitude and Perceived Competency about Cardiopulmonary Resuscitation in Elementary School students (초등학생의 기본 심폐소생술에 대한 인식, 태도 및 수행자신감)

  • Park, Young-Rye;Kim, Hye-Suk;Cha, Hye-Gyeong
    • Journal of the Korean Society of School Health
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    • v.23 no.2
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    • pp.133-142
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    • 2010
  • Purpose: The purpose of this study was to identify awareness, attitude and perceived competence about cardiopulmonary resuscitation in elementary school students. Methods: Data were collected from a convenience sample of 616 5th and 6th grade elementary school students in Korea during September and December 2008. A self-questionnaire was used to gather the data. Descriptive statistics, t-test, $x^2$ test, Pearson correlation coefficients and multiple stepwise regression with the SPSS program were used to analyze the data. Results: Among the items related to elementary school students' awareness of cardiopulmonary resuscitation, artificial respiration was perceived at the highest rate (91.9%) and was followed by cardiopulmonary resuscitation, chest compression and airway management. The mean score for attitude 3.51, perceived competence 3.47. There was a positive correlation between awareness, attitude and perceived competence. Attitude and awareness were significant predictors and explained 57.5% of perceived competence about cardiopulmonary resuscitation. Conclusion: The results indicate the necessity of developing effective cardiopulmonary resuscitation education programs for elementary school students.