Artigo de periodico

Assessment of aprotinin in the reduction of inflammatory systemic response in children undergoing surgery with cardiopulmonary bypass (2010)

• Authors:
  • Ferreira, Cesar Augusto
  • Vicente, Walter Villela de Andrade
  • Evora, Paulo Roberto Barbosa
  • Rodrigues, Alfredo José
  • Klamt, Jyrson Guilherme
  • Carlotti, Ana Paula de Carvalho Panzeri
  • Carmona, Fabio
  • Manso, Paulo Henrique
• USP affiliated authors: VICENTE, WALTER VILLELA DE ANDRADE - FMRP ; EVORA, PAULO ROBERTO BARBOSA - FMRP ; RODRIGUES, ALFREDO JOSE - FMRP ; KLAMT, JYRSON GUILHERME - FMRP ; CARLOTTI, ANA PAULA DE CARVALHO PANZERI - FMRP ; CARMONA, FABIO - FMRP
• Unidade: FMRP
• Subjects: CRIANÇAS; PROCEDIMENTOS CIRÚRGICOS CARDIOVASCULARES
• Language: Inglês
• Abstract: OBJECTIVE: To assess if the hemostatic high-dose aprotinin is able to reduce the inflammatory process after cardiopulmonary bypass (CPB) in children. METHODS: A prospective randomized study was performed on children aged 30 days to 4 years who underwent correction of acyanogenic congenital heart disease with CPB and were divided into two groups: Control (n=9) and Aprotinin (n=10). In the Aprotinin Group the drug was administered before and during CPB and the systemic inflammatory response and hemostatic and multiorgan dysfunctions were assessed through clinical and biochemical markers. Differences were considered to be significant when P<0.05. RESULTS: The groups were similar regarding demographic and intraoperative variables, except for a greater hemodilution in the Aprotinin Group. The drug had no benefit regarding time of mechanical pulmonary ventilation, staying in the postoperative ICU and length of hospitalization, or regarding the use of inotropic drugs and renal function. The partial arterial oxygen pressure/ inspired oxygen fraction ratio (Pa’O IND. 2’/Fi’O IND. 2’) was significantly reduced 24 h after surgery in the Control Group. Blood loss was similar for both groups. Significant leukopenia was observed in the Aprotinin Group during CPB, followed by leukocytosis. Tumor necrosis factor alpha (TNF- α), interleukins (IL)-6, IL-8, IL-10, IL-6/IL-10 ratio did not differ significantly between groups. The postoperative IL-6/IL-10 ratio increased significantly in the Control Group. There were no complications with the use of aprotinin. CONCLUSION: In this study, hemostatic high-dose aprotinin did not minimize the clinical manifestations or serum markers of the inflammatory systemic response
• Imprenta:
  • Publisher place: São Paulo
  • Date published: 2010
• Source:
  • Título do periódico: Revista Brasileira de Cirurgia Cardiovascular
  • ISSN: 0102-7638
  • Volume/Número/Paginação/Ano: v. 25, n. 1, p. 85-98, 2010


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• ABNT

  FERREIRA, Cesar Augusto et al. Assessment of aprotinin in the reduction of inflammatory systemic response in children undergoing surgery with cardiopulmonary bypass. Revista Brasileira de Cirurgia Cardiovascular, v. 25, n. 1, p. 85-98, 2010Tradução . . Disponível em: http://www.scielo.br/pdf/rbccv/v25n1/en_v25n1a18.pdf. Acesso em: 17 abr. 2024.

• APA

  Ferreira, C. A., Vicente, W. V. de A., Evora, P. R. B., Rodrigues, A. J., Klamt, J. G., Carlotti, A. P. de C. P., et al. (2010). Assessment of aprotinin in the reduction of inflammatory systemic response in children undergoing surgery with cardiopulmonary bypass. Revista Brasileira de Cirurgia Cardiovascular, 25( 1), 85-98. Recuperado de http://www.scielo.br/pdf/rbccv/v25n1/en_v25n1a18.pdf

• NLM

  Ferreira CA, Vicente WV de A, Evora PRB, Rodrigues AJ, Klamt JG, Carlotti AP de CP, Carmona F, Manso PH. Assessment of aprotinin in the reduction of inflammatory systemic response in children undergoing surgery with cardiopulmonary bypass [Internet]. Revista Brasileira de Cirurgia Cardiovascular. 2010 ; 25( 1): 85-98.[citado 2024 abr. 17 ] Available from: http://www.scielo.br/pdf/rbccv/v25n1/en_v25n1a18.pdf

• Vancouver

  Ferreira CA, Vicente WV de A, Evora PRB, Rodrigues AJ, Klamt JG, Carlotti AP de CP, Carmona F, Manso PH. Assessment of aprotinin in the reduction of inflammatory systemic response in children undergoing surgery with cardiopulmonary bypass [Internet]. Revista Brasileira de Cirurgia Cardiovascular. 2010 ; 25( 1): 85-98.[citado 2024 abr. 17 ] Available from: http://www.scielo.br/pdf/rbccv/v25n1/en_v25n1a18.pdf

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