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A lot of drugs and not much oxygen: Is the cocktail responsible for delirium?
We read with great interest the article by Arenson and colleagues that analyzed the risk factors for postoperative delirium, with particular reference to the influence of intensive care unit environment, in a large study population undergoing cardiac surgery. In their multivariate analysis, postoperative delirium was significantly associated with preoperative (eg, age, preadmission use of benzodiazepine), intraoperative (eg, combined coronary artery bypass grafting and valve surgery), and postoperative (eg, stroke or transient ischemic attack, mechanical ventilation>24 hours, blood transfusion, postoperative renal insuffic...
Source: The Journal of Thoracic and Cardiovascular Surgery - January 6, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Francesco Pollari, Giuseppe Santarpino, Theodor Fischlein Tags: Letters to the Editor Source Type: research

Challenge to the Intestinal Mucosa During Sepsis
Conclusion The impact of sepsis on the gut is manifold, e.g., sepsis mediated alteration of the gut-blood barrier and increase in the intestinal permeability, which may correlate with the phenomena of bacterial translocation and lymphatic activation (“toxic-lymph”). Systemic consequences of sepsis are widespread and concern to the coagulative system, the microbiome as well as enzymes, such as pancreatic proteases, MMPs and IAPs. Nevertheless, the therapeutic approaches for modulating the mucosal immune system are still rarely effective in daily routine. Recent published studies showing that treatment with ...
Source: Frontiers in Immunology - April 29, 2019 Category: Allergy & Immunology Source Type: research