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January 1, 1998Anesthesia & Analgesia

Does the Duration of Cardiopulmonary Bypass or Aortic Cross-Clamp, in the Absence of Blood and/or Blood Product Administration, Influence the IL-6 Response to Cardiac Surgery?

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Why the study?

Does the duration of cardiopulmonary bypass or aortic cross-clamp influence the IL-6 response in patients undergoing cardiac surgery without blood product administration?

Population

16 patients undergoing cardiopulmonary bypass who did not receive blood and/or blood products during the…

Design

Cohort

Follow-up

at sternal closure

Authors

CWCharles W. WhittenGHGary E. HillRIRoy Ivy

Discussion

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Overview

May warrant minimizing CPB duration to limit inflammation; leaves open independent effects of aortic cross-clamp time.

Structured PICO

Does the duration of cardiopulmonary bypass or aortic cross-clamp influence the IL-6 response in patients undergoing cardiac surgery without blood product administration?

P
Population
16 patients undergoing cardiopulmonary bypass (coronary artery bypass grafting, n = 9; valvular cardiac surgery, n = 7) who did not receive blood and/or blood products during the study.
I
Intervention
Duration of cardiopulmonary bypass (CPB) and aortic cross-clamp time.
O
Outcome
Absolute increase in plasma IL-6 levels from preinduction (T0) to sternal closure.surrogate

The magnitude of the IL-6 inflammatory response correlates positively with the duration of cardiopulmonary bypass, but not aortic cross-clamp time, independent of blood product transfusion.

Cite This Study

Whitten et al. (1998) studied this question.

synapsesocial.com/papers/6a9fba48fe80d3ecfb7c6727https://doi.org/10.1213/00000539-199801000-00006
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Response of Serum Interleukin-6 in Patients Undergoing Elective Surgery of Varying Severity1990 · 761 citations
  2. 2Effects of Acadesine on Myocardial Infarction, Stroke, and Death Following Surgery<subtitle>A Meta-analysis of the 5 International Randomized Trials</subtitle>1997 · 157 citations
  3. 3Biventricular Function after Myocardial Revascularization in Humans1985 · 200 citations
  4. 4Regulation of interleukin-6 expression in cultured human blood monocytes and monocyte-derived macrophages1988 · 235 citations