P0.03, R2: 0.07, p0.04. We also have a positive correlation between the decrease in free T3 in serum total bilirubin and Pod1 at POD 4, 7 (p0.04, found 0.04, although we did not find significant relationship between free T3 in Pod1 and postoperative liver function, Complications and results. GSK690693 937174-76-0 CONCLUSION. patients who show up LDLT significant decrease in thyroid hormones Dian, especially older and kr nker MELD score. stress response, at Anesthesiology, Perioperative and I k can key factors prompted this response be. This Stoffwechselst requirements does not worsen the clinical outcome, and then perhaps an adaptive response to energy saving in various organs S174 21st ESICM Annual Congress in Lisbon, Portugal September 24, 2008 0680 21 continuous blood glucose monitoring, and postoperative monitoring of control by the artificial pancreas in patients with pancreatic resection:.
A prospective randomized study CLINICAL Maeda1 H., T. Okabayashi1, I. Nishimori2, Yamashita3 K., T. Sugimoto1, Kohsaki2 Andarine 401900-40-1 T., T. Yatabe3, Mr. Kobayashi1, Ohnishi2 S. K. Hanazaki1 1Surgery, 2Gastroenterology and Hepatology, and Critical Care Medicine 3Anesthesiology, Kochi Medical School, Nankoku, INTRODUCTION Japan. hyperglycemia chemistry in diabetes after pancreatic resection pancreatogenic associated often causes dysregulation of liver metabolism and immune function, which adversely from the postoperative recovery subject is chtigt. In this study, a closed system for the continuous monitoring and control strict perioperative blood sugar after pancreatectomy. METHODS.
Three ig patients pancreatectomy for pancreatic cancer were prospectively randomized. perioperative blood glucose levels were monitored continuously using an artificial endocrine pancreas (STG 22nd blood sugar levels were controlled strips with the declining-balance depreciation (sliding scale group, No. 13, or the artificial pancreas (artificial pancreas group, n 17th RESULTS. In sliding scale group, have initially postoperative blood sugar levels Highest before the age plateau of about 200 mg / dl 4-6 hours after pancreatectomy obtained ht. level held erh reduced ht for 18 hours after surgery. In artificial pancreas group, blood glucose by F constant is reached, the target area (80 110 mg / dl 6 postoperative hours.
the total insulin per patient may need during the first 18 hours postoperatively was significantly administered h forth in the artificial pancreas group (107 109 IU group compared with sliding scale (8 6 IU, P \ 0.01 . Neither group showed hypoglycaemia chemistry. CONCLUSION. perioperative use of an artificial endocrine pancreas controlled l pancreatogenic diabetes after pancreatic resection is a simple and effective in the N he to maintain normal blood sugar levels. The artificial pancreas is promising to revolutionize the treatment of insulin in patients with diabetes after pancreatic resection pancreatogenic. thanksgiving GRANT. supported by Japan Society of the pancreas, the Ministry of Education, Culture, Sports, Science and Technology, Kochi University and discretion re agent. glutamine dipeptide on EFFECTS 0681 nitrogen balance and immune function after using ABDOMEN G. Yao, X.
Zhu, Y. He, Y. Lin, SICU, Peking University t Pital third hour, Beijing, China INTRODUCTION Purpose:. the effectiveness of glutamine (Gln Rate dipeptide-enriched total parenteral Ern currency (TPNon selected COOLED metabolic, immunologic, and clinical variables in surgical patients. METHODS. Fifty-two patients abdominal surgery were awarded, were randomized into two groups to receive isonitrogenous and isoenergetic TPN for 5 days. Controls has once again u 1.5 g amino acid kg 1 day 1, and the test group re u 1.2 g amino acids and 0.3 g of L-alanyl L glutamine (Gln Ala 1 Day 1 kg. Ven se Blood samples were heparinized were on days 1, 3 and 6 were after surgery for the routinely strength clinical chemistry and obtained for the measurement of plasma free amino acids.
IgG, IgM, IgA, CD3, CD4 and CD4/CD8 gez just increments and the production of leukotrienes cysteinyl neutrophils was examined on days 1, 3 and 6 after surgery. nitrogen balances were postoperatively calculated on days 2, 3, 4 and 5. RESULTS. No side effects were noted. patients , the Gln dipeptide revealed improved nitrogen balance, improved IgG, IgA, CD3, CD4 and CD4/CD8 at day 6 and improved generation of cysteinyl-leukotrienes from polymorphonuclear neutrophil granulocytes (p \ 0.05. hospital stay after surgery was shorter in the dipeptide group complements a TABLE 1. contr CHANGE plasma amino acids IN TWO GROUPS Group D first postoperative third contribution D-glutamine 6th postoperative D operating 356.7816 365.3226 0.6 446.8721.7 426.9227.0 glutamine. 531.2438.0 542.6228.5 3 contr the alanine-glutamine 247.8917.6 325.4624.1 282.2026.4 200.0323.3 313.4141.8 356.7626.5 contr the glutamine 26.442.4 36.854.6 37 243 acid. 27.644.1 0 35.3812 glutamine. 5 42.453.8 with contr campared term the p \ 0.05, p \ .01 CONCLUSION best. We,