Gil Jun Suh

Six-hour central venous oxygen saturation has no prognostic value in patients with septic shock

Methods We have retrospectively identified septic shock patients who received protocolized treatment in two tertiary academic EDs. All patients were treated using the early goaldirected protocol. The data with respect to demographics, predisposing factors, site of infection, and the admission APACHE II score were collected. Hemodynamic (mean arterial pressure and central venous pressure) and laboratory (arterial blood gas analysis, Scv02, and lactate level) parameters at baseline and 6-hour were also recorded. To test the prognostic value of 6-hour Scv02, the area under receiver operating characteristics curve (AUROC) to predict 1-month mortality was calculated and compared with that of 6-hour lactate level. Pearson correlation coefficient between 6-hour Scv02 or lactate level and the admission APACHE II score were also analyzed.

Diagnostic performance of ct angiography for gastrointestinal haemorrhage according to the clinical severity

Acute gastrointestinal haemorrhage (GIH) is a common medical emergency with a significant morbidity and mortality. Although endoscopy is considered as a primary diagnostic modality, computed tomography (CT) angiography is recently introduced as an alternative diagnostic tool because of its advantages such as readiness, wide anatomic coverage, and minimal invasiveness. However, no studies have evaluated the diagnostic performance of CT angiography according to the clinical severity of GIH.