with multiple mreloma, two w'ith sysiemic lupus cr)'themotosus, two cases non-spccific lg-G antibody, two cases medicatien with un unticancer drug, one with multiple sclerosis, one with Crohn's disease with amyloid kidney and one with chronic myeloblqstic leukemia) treated bT p]asma exchange in the Kidncy Centcr, Tokai Uniycrsity, School of Medicine from Jan. ]98S to Dec. 1986. We performed pla...

Ciguatera results when ciguatoxin-contaminated coral reef fish from tropical or subtropical waters are consumed. The clinical features that present in affected persons are mainly gastrointestinal, neurological, general, and much less commonly, cardiovascular. We report the case of a 50-year-old man who developed the characteristic combination of acute gastrointestinal and neurological symptoms ...

Introduction: Meconium staining of amniotic fluid (MSAF) is a natural phenomenon in pregnant mothers and their fetuses. MSAF may lead to developing Aspiration Syndrome (MAS). Surfactant replacement therapy has recently emerged as MAS, but no guideline outlines how administer it properly. Case Presentation: We present two term neonates with severe MAS cases focusing on the bolus surfactant thera...

The initiation of continuous renal replacement therapy (CRRT) in acute kidney injury (AKI) with severe hypernatremia is challenging since sodium concentrations in commercial replacement fluid (RF) and dialysate solutions are usually fixed at 140 mEq/L. We present a case of AKI with severe hypernatremia successfully treated with CRRT using commercial RF solutions customized to prevent rapid corr...

The following basic rules of parenteral fluid therapy are formulated with the aim of alleviating concern and confusion about i.v. fluid orders that are experienced by most physicians: Don't be generous with fluid; in determining the water intake, one must know the usual water output through the kidney, skin and lung; one must know the quantities of the electrolytes and nutrients that are being ...

Fluid Choice for Resuscitation and Perioperative Administration Fluid administration is considered the cornerstone of resuscitative therapy for the treatment of hypotension, hypovolemia, and physical trauma. Isotonic salt (crystalloid) solutions (e.g., lactated Ringer’s solution [LRS]) are the most frequently recommended fluids for this therapy because they are considered to be safe, efficaciou...

Knee Osteoarthritis (OA) is considered as one of the leading cause disability around world1. Total knee Arthroplasty known to be best treatment option available for reduction in pain and symptoms case failure conservative management2. Recently enhanced recovery pathways have been followed after replacement surgery which includes a combination early mobility, education patient care giver, nutrit...