Báo cáo y học: "Serum procalcitonin level and leukocyte antisedimentation rate as early predictors of respiratory dysfunction after oesophageal tumour resection"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Serum procalcitonin level and leukocyte antisedimentation rate as early predictors of respiratory dysfunction after oesophageal tumour resection. | Available online http content 10 4 R110 Research Serum procalcitonin level and leukocyte antisedimentation rate as early predictors of respiratory dysfunction after oesophageal tumour resection Lajos Bogar Zsolt Molnar Piroska Tarsoly Peter Kenyeres and Sandor Marton Department of Anaesthesiology and Intensive Care University of Pecs Hungary Corresponding author Lajos Bogar bogar@ Received 1 Mar 2006 Revisions requested 24 Apr 2006 Revisions received 16 May 2006 Accepted 17 Jul 2006 Published 19 Jul 2006 Critical Care 2006 10 R11 0 doi cc4992 This article is online at http content 10 4 R110 2006 Bogar et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Postoperative care after oesophageal tumour resection holds a high risk of respiratory complications. We therefore aimed to determine the value of systemic inflammatory markers in predicting arterial hypoxaemia as the earliest sign of developing lung injury after oesophageal tumour resection. Methods In a prospective observational study 33 consecutive patients were observed for three days T1-T3 after admission T0 to an intensive care unit following oesophageal tumour resection. The daily highest values of the heart rate axillary temperature leukocyte count and PaCO2 were recorded. Serum C-reactive protein and procalcitonin concentrations and the leukocyte antisedimentation rate LAR were determined at T1 and T2. Respiratory function was monitored 6-hourly measurement of the PaO2 FIO2 ratio and the lowest value was recorded at T3. Patients were categorised as normoxaemic or hypoxaemic using the cutoff value of 300 mmHg for PaO2 FIO2. Results Seventeen out of 33 patients were classified as .

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