Journal of Acute Care Surgery

"Sang Jun Park"

Case Report

Trauma

Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury: Eun Ji Lee, Hojong Park, Kyu Hyouck Kyoung, Sang Jun Park; J Acute Care Surg 2021;11(3):141-144. Published online November 23, 2021; DOI: https://doi.org/10.17479/jacs.2021.11.3.141

Abstract
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A case of a 30-year-old man who was admitted following a penetrating neck injury is presented. A clinical examination and operative findings identified semi-comatose mentality, neck muscle laceration, and transection of the left common carotid and vertebral arteries and the internal jugular vein. During the operation, the carotid arteries were repaired by interposition grafting, and the internal jugular vein was ligated. The vertebral artery was managed by interventional embolization. Although the patient had some neurological deficit, he was discharged on postoperative Day 52. This surgical case prompted a discussion regarding neurological outcomes, and surgical and endovascular treatment following vascular neck injury.

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Original Article

Infection/Sepsis, Critical care

Prevalence of Infection and Appropriate Antibiotic Treatment in Brain-Dead Organ Donors: Yo Hwan Kim, Hong Rae Cho, Byung Kyun Ko, Yang Won Nah, Chang Woo Nam, Sang Jun Park, Song-Soo Yang, Kyu-Hyouck Kyoung; J Acute Care Surg 2015;5(1):15-18. Published online April 30, 2015; DOI: https://doi.org/10.17479/jacs.2015.5.1.15

Abstract
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Purpose:

Infection control of the brain-dead donors (BDDs) is crucial to improve graft quality and ensure safety of the recipients. Sparse clinical data about infection of BDD in Korea poses difficulties in choice of antibiotics. We conducted this study to estimate the prevalence of infection and suitability of antibiotic treatment in BDDs.

Methods:

A retrospective analysis of BDDs between January 2009 and December 2013 was conducted. Types of microbes and prevalence of multi-drug resistant organisms (MDRO) by hospital stay were analyzed.

Results:

The most common site of infection was the respiratory tract, and seven (12.7%) patients had bacteremia. The overall prevalence of MDRO was 34.5%, although in BDDs with hospital stay more than 16 days that increased to 66.7%. Antibiotic treatment was used at least in days 6~10 of the hospital stay.

Conclusion:

Infection control of BDDs is essential for transplantation. The development of MDRO and suitability of antibiotics need evaluation.