Systemic Inflammatory Response Syndrome (SIRS)
Conditions
Brief summary
Patients undergoing major procedures in oral and maxillofacial surgery more often develop a systemic inflammatory response syndrome (SIRS) in the first days of postoperative critical care therapy than patients with a comparable major surgery in other regions. The reasons for this finding are unknown and have not been studied in depth so far. We hypothesize that surgical trauma in this region might activate pro-inflammatory pathways. By examining the proteome of patients at different stages (prior to the surgery, at ICU admission, on the second postoperative day and when SIRS has ended clinically), we aim to identify the involved pro-inflammatory pathways and identify possible target proteins that might be clues to modification of postoperative SIRS in the future.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18-99yrs * scheduled for elective surgery with risk for development of SIRS * written and informed consent
Exclusion criteria
* age \<18yrs * pregnancy * emergency surgery * failure to obtain patient consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change of concentration of pro-inflammatory cytokines [µg/l] | up to 10 days post surgery | Change of concentration of pro-inflammatory cytokines from pre-operative sample over icu-admission, 2nd postoperative day and clinical end of SIRS. |
Countries
Germany