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Báo cáo khoa học: "The effects of different weaning modes on the endocrine stress respons"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The effects of different weaning modes on the endocrine stress response. | Available online http ccforum.eom content 8 1 R31 Research Open Access The effects of different weaning modes on the endocrine stress response Guniz Meyanci Koksal1 Cem Sayilgan1 Oznur Sen2 and Huseyin Oz3 Senior Resident Department of Anaesthesiology and Reanimation Istanbul University Cerrahpasa Medical Faculty Istanbul Turkey 2Resident Department of Anaesthesiology and Reanimation Istanbul University Cerrahpasa Medical Faculty Istanbul Turkey 3Professor Department of Anaesthesiology and Reanimation Istanbul University Cerrahpasa Medical Faculty Istanbul Turkey Correspondence Guniz Meyanci Koksal gunizkoksal@hotmail.com Received 3 August 2003 Revisions requested 26 September 2003 Revisions received 18 October 2003 Accepted 10 November 2003 Published 3 December 2003 Critical Care 2004 8 R31-R34 DOI 10.1186 cc2413 This article is online at http ccforum.com content 8 1 R31 2004 Koksal et al. licensee BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X . This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Introduction The aim of the present study was to investigate the effects of the stress response on plasma insulin cortisol glucose and urinary vanilmandelic acid during weaning and after extubation using pressure support PS continuous positive airway pressure CPAP and T-piece modes. Methods Sixty patients were randomly divided into three groups n 20 . The PS group received FiO2 0.4 PS 10cmH2O and positive end expiratory pressure 5cmH2O for 2 hours. The CPAP group was given FiO2 0.4 and CPAP 5cmH2O for 2 hours. The T-piece group group T received 4 l min oxygen via a T-piece for 2 hours. After 1 hour and 2 hours in their respective weaning modes blood and urine samples were taken for insulin cortisol glucose and vanilmandelic acid measurements. Forty-eight hours after extubation blood and urine samples .