Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · May 2005
[Diagnostic value of some markers of infection in cardiosurgical patients in the early postoperative period].
The diagnostic value of traditional markers of infection and procalcitonin test (PCT) in the early postoperative period was compared in 60 cardiosurgical patients with acquired cardiac diseases and at risk for postoperative infectious complications. The mean age of the patients was 51 +/- 11 years. Preoperatively, all the patients had no signs of infections. ⋯ The persistence of the high level of PCT was observed in Group D where there were the bulk (60%) of infectious complications. As compared with the traditional clinical and laboratory criteria (fever, leukocytosis), PCT is the earliest and most specific marker of bacterial infection in cardiosurgical patients in the early postoperative period. The level of PCT > 3.5 ng/ml within the first 24 hours after surgery is shown to be a predictor of postoperative infectious complications.
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The author considers the main features of a prepared edition of the international standard ISO 4135:2001 "Equipment for anesthesia and artificial ventilation. Glossary" as the state standard of Russia. ⋯ The abbreviations of these procedures are given in the Russian and English languages. The shorthand notations of airways gas pressure in the characteristic points of a respiratory cycle are clarified in detail and on this basis the procedures for limiting inspiration pressure during controlled artificial ventilation.