Wan-Ching Lien

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AIM OF STUDY Unrecognized one-lung intubations (also known as main-stem intubation) can lead to hypoventilation, atelectasis, barotrauma, and even patient death. Many traditional methods can be employed to detect one-lung intubation; however, each of these methods has limitations and is not consistently reliable in emergency settings. This study aimed to(More)
OBJECTIVE Ischemic colitis (IC) spans a broad spectrum from self-limiting illness to intestinal gangrene and mortality. Prognostic factors specifically for nonpostoperative IC were not fully characterized. We aim to focus on nonpostoperative IC in patients with renal dysfunction and try to identify prognostic factors for adverse outcomes. METHODS We(More)
OBJECTIVES This study aimed to assess the diagnostic accuracy and timeliness of using tracheal ultrasound to examine endotracheal tube placement during emergency intubation. METHODS This was a prospective, observational study, conducted at the emergency department of a national university teaching hospital. Patients received emergency intubation because(More)
BACKGROUND Patients with appendiceal mucocele (AM) commonly present with features indicative of acute appendicitis. In emergency departments, accurate preoperative diagnosis is crucial to prompt appropriate treatment. This study investigates the clinical and sonographic characteristics of AM, which may prove useful in preoperatively differentiating AM from(More)
peutic responsiveness or delayed resolution may easily lead to unnecessary diagnostic work. Moreover, round pneumonia can, occasionally, be difficult to distinguish from bronchogenic carcinoma. In adults, malignancy is the most frequent cause of pulmonary round or “coin” lesions. However, a trial of appropriate antibiotic therapy followed by a second chest(More)
Background A secure airway and effective ventilation are key components of advanced life support [1]. Unrecognized misplacement of endotracheal tube can lead to morbidity and mortality, with a reported incidence of approximately 2.9–16.7% in previous cardiac arrest studies [2–4]. Many traditional methods, including direct visualization of the vocal cords,(More)
This prospective study investigates recurrence rates and identifies predictive factors for recurrence following successful nonoperative treatment in adult patients with acute appendicitis. Between January 2003 and December 2009, adult patients with acute appendicitis who received successful nonoperative management were enrolled. Cumulative recurrence rates(More)
OBJECTIVES To determine the incidence of sonographic hepatic portal venous gas (HPVG) and to clarify the relationship between the presence of HPVG and clinical outcomes in patients with out-of-hospital cardiac arrest (OHCA). METHODS From April 2002 to January 2003, patients with non-traumatic OHCA were prospectively enrolled in a tertiary medical centre(More)