Airway foreign body (FB) removal is challenging and a time-limited and lifesaving procedure. Herein, we report successful removal of a life-threatening FB in the subglottic airway in an infant by physically forcing the FB further into the distal airway to block one lung and save the other. A 12-month-old boy presented in the emergency department with choking. Upon arrival, his mental status was alert. However, respiratory failure rapidly progressed and respiratory arrest occurred. We attempted to move the FB distally by pushing the endotracheal tube as deep as possible and inserting the stylet further. The patient was successfully resuscitated, and bronchoscopic FB removal was performed. The patient was discharged without respiratory or neurologic sequelae.
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Do We Actually Help Choking Children? The Quality of Evidence on the Effectiveness and Safety of First Aid Rescue Manoeuvres: A Narrative Review Jakub R. Bieliński, Riley Huntley, Cody L. Dunne, Dariusz Timler, Klaudiusz Nadolny, Filip Jaskiewicz Medicina.2024; 60(11): 1827. CrossRef
Objective To investigate whether serum levels of high-density lipoprotein (HDL) and apolipoprotein A-1 (ApoA1), after the return of spontaneous circulation, can predict the neurologic outcome in patients with out-of-hospital cardiac arrest (OHCA).
Methods This was a retrospective observational study conducted in a single tertiary hospital intensive care unit. All adult OHCA survivors with admission lipid profiles were enrolled from March 2013 to December 2015. Good neurologic outcome was defined as discharge cerebral performance categories 1 and 2.
Results Among 59 patients enrolled, 13 (22.0%) had a good neurologic outcome. Serum levels of HDL (56.7 vs. 40 mg/dL) and ApoA1 (117 vs. 91.6 mg/dL) were significantly higher in patients with a good outcome. Areas under the HDL and ApoA1 receiver operating curves to predict good outcomes were 0.799 and 0.759, respectively. The proportion of good outcome was significantly higher in patients in higher tertiles of HDL and ApoA1 (test for trend, both P=0.003). HDL (P=0.018) was an independent predictor in the multivariate logistic regression model.
Conclusion Admission levels of HDL and ApoA1 are associated with neurologic outcome in patients with OHCA. Prognostic and potential therapeutic values of HDL and ApoA1 merit further evaluation in the post-cardiac arrest state, as in other systemic inflammatory conditions such as sepsis.
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Total cholesterol and bilirubin levels are associated with neurologic outcomes in patients with out-of-hospital cardiac arrest Sang Hwan Lee, Yongil Cho, Jaehoon Oh, Hyunggoo Kang, Tae Ho Lim, Byuk Sung Ko, Kyung Hun Yoo, Juncheol Lee Internal and Emergency Medicine.2025; 20(4): 1185. CrossRef
Neutrophil to high-density lipoprotein cholesterol ratio as a potential inflammatory marker for predicting all-cause mortality in out-of-hospital cardiac arrest survivors Da-Long Chen, Yu-Kai Lin, Guei-Jane Wang, Kuan-Cheng Chang Scientific Reports.2025;[Epub] CrossRef
Lactate-to-albumin ratio and cholesterol levels predict neurological outcome in cardiac arrest survivors Da-Long Chen, Chia-Min Chung, Guei-Jane Wang, Kuan-Cheng Chang The American Journal of Emergency Medicine.2024; 83: 9. CrossRef
Association between Early Phase Serum Albumin Levels and Outcomes of Post-Cardiac Arrest Patients: A Systematic Review and Meta-Analysis Heekyung Lee, Juncheol Lee, Hyungoo Shin, Tae-Ho Lim, Bo-Hyoung Jang, Youngsuk Cho, Wonhee Kim, Jae-Guk Kim, Kyu-Sun Choi, Min-Kyun Na, Chiwon Ahn, Sae-Min Kwon Journal of Personalized Medicine.2022; 12(11): 1787. CrossRef
Serum total cholesterol level as a potential predictive biomarker for neurological outcomes in cardiac arrest survivors who underwent target temperature management Changjoo Ahn, Changshin Kang, Hong Joon Ahn, Yeonho You, Jung Soo Park, Jin Hong Min, Wonjoon Jeong, Yongchul Cho, Seung Ryu, Yong Nam In Medicine.2022; 101(46): e31909. CrossRef
Persistence of Lipoproteins and Cholesterol Alterations after Sepsis: Implication for Atherosclerosis Progression Krzysztof Laudanski International Journal of Molecular Sciences.2021; 22(19): 10517. CrossRef
Low serum cholesterol level as a risk factor for out-of-hospital cardiac arrest: a case-control study Jae Kwang Yang, Yu Jin Kim, Joo Jeong, Jungeun Kim, Jeong Ho Park, Young Sun Ro, Sang Do Shin Clinical and Experimental Emergency Medicine.2021; 8(4): 296. CrossRef
Initial serum cholesterol level as a potential marker for post cardiac arrest patient outcomes Minjung Kathy Chae, Sung Eun Lee, Young Gi Min, Eun Jung Park Resuscitation.2020; 146: 50. CrossRef
The association between lipid profiles and the neurologic outcome in patients with out-of-hospital cardiac arrest Hyoung Youn Lee, Dong Hun Lee, Byung Kook Lee, Kyung Woon Jeung, Yong Hun Jung, Jung Soo Park, Jin Hong Min, Yong Il Min Resuscitation.2019; 145: 26. CrossRef
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