• Jarosław Paśnik, Jadwiga Anna Moll, Jacek Moll, Agnieszka Cywińska-Bernas, Wojciech Mazurowski, Jerzy Arendarczyk, Andrzej Sysa, Małgorzata Banasik, and Krzysztof Zeman.
• Klinika Pediatrii, Kardiologii Prewencyjnej i Immunologii Wieku Rozwojowego Instytutu Pediatrii Uniwersytetu Medycznego w Lodzi. elute@poczta.onet.pl
• Pol. Merkur. Lekarski. 2005 Jul 1; 19 (109): 20-3.

UnlabelledCardiac surgery induces systemic inflammatory response that may have been implicated the postoperative organ dysfunction. This inflammatory response is thought to be produced by exposing patients to proinflammatory factors. The aim of our study was to investigate alterations in procalcitonin (PCT) concentration in peripheral blood in children as the potential early indicator of complications occurring during and after surgery in extracorporeal circulation. Additionally, we evaluated the perioperative time course of IL-6.Material And MethodsThe investigations were carried out in 21 children undergoing cardiac operation with cardiopulmonary bypass (CPB). Serum concentrations of PCT and IL-6 were sequentially measured before induction of anesthesia, at the initiation of CPB, at the end of CPB, and 24 hours, and 72 hours after CPB.ResultsThere was no significant PCT-elevation at all 5 times of measurement. Levels of IL-6 increased significantly after surgery, and remained elevated for up to 1 day. Peak values correlated with the duration of CPB (r=0.68, p=0.0006).ConclusionsWe conclude, that cardiac surgery with CPB did not have any influence on the secretion of PCT in children. These results suggest that IL-6 was more effective than PCT to monitor patients with a favorable outcome.

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