[Serum cytokines and cytokine receptors in children after small or larger surgical interventions with halothane anesthesia].
Immune dysfunction or immune defect syndrome can result postoperatively. It is not yet clear what part is played by the operative trauma itself or by narcotics. To answer this question, 54 patients (ASA 1) aged between 4 and 16 were examined. In group I there were 28 patients with minor operations and in group II 26 patients with moderate ones. We chose halothan, N2O and O2 for inhalational anaesthesia for all patients, IL-6. TNF alpha, IL-IRA, IL-2R and sTNF-RII measuring times were preoperative directly postoperative and on the first and third postoperative days. In contrast to TNF-alpha, IL-6 showed itself in both groups to be an "early" immune parameter with trauma-related kinetics. IL-IRA increased in both groups with significant values on the first postoperative day. Trauma-related differences between the groups were apparent. sIL-2R was less pronounced, IL-6 and IL-IRA parameters proved to be sensitive indicators of operative trauma intensity. The differing IL-IRA kinetic after minor or moderate trauma indicates that narcotic effects may be manifested at cytokine receptor level. Monitoring of the presented parameters on the first and third postoperative days together with base data appears to be appropriate for determining perioperative immune reaction.
Burkhardt
U
U
Klinik und Poliklinik für Anaesthesiologie und Intensivtherapie, Universität Leipzig.
Sack
U
U
Wild
L
L
Olthoff
D
D
D000293:Adolescent; D000769:Anesthesia, Inhalation; D002648:Child; D002675:Child, Preschool; D016207:Cytokines / Q000097:blood*; D005260:Female; D006221:Halothane; D006801:Humans; D015850:Interleukin-6 / Q000097:blood; D008297:Male; D015166:Monitoring, Immunologic; D011183:Postoperative Complications / Q000276:immunology*; D018121:Receptors, Cytokine / Q000097:blood / Q000187:drug effects*; D012016:Reference Values
D016207:Cytokines; D015850:Interleukin-6; D018121:Receptors, Cytokine; D006221:Halothane
Zytokine und Zytokinrezeptoren im Serum von Kindern nach kleinen oder grösseren chirurgischen Eingriffen unter Halothan-Narkose.