Journals / Türk Anestezi ve Reanimasyon Dergisi / 2005 / Cilt: 33 - Sayı: 1

The effect of N-acetylcysteine treatment to prevent the progression of multiple organ failure

N-asetil sistein tedavisinin çoklu organ yetmezliği gelişmesini önlemedeki yeri

Pages
76–81
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Two patients were withdrawn because of ICU stay

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: We investigated whether prolonged infusion of the oxygen free radical scavenger N-acetylcysteine (NAC) started immediately after admission to intensive care unit (ICU) could ameliorate the development or progression of multiple organ failure (MOF).Materials and Methods: After receiving local ethics committee approval, 26 patients enrolled into a prospective, randomized, double-blinded, placebo-controlled trial.
📊
Key Findings & Data:Patients were allocated to recieve either NAC in 5 % dextrose 40 mg/kg/day in four divided doses or the same volume of. 5 % dextrose.
💡
Conclusion & Impact:Two patients were withdrawn because of ICU stay
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: We investigated whether prolonged infusion of the oxygen free radical scavenger N-acetylcysteine (NAC) started immediately after admission to intensive care unit (ICU) could ameliorate the development or progression of multiple organ failure (MOF).Materials and Methods: After receiving local ethics committee approval, 26 patients enrolled into a prospective, randomized, double-blinded, placebo-controlled trial. Patients were allocated to recieve either NAC in 5 % dextrose 40 mg/kg/day in four divided doses or the same volume of. 5 % dextrose. Two patients were withdrawn because of ICU stay

Özet

Amaç: Çalışmamızda serbest oksijen radikal tutucu N-asetil sisteinin (NAS) yoğun bakım hastalarında, hemen başlanan, uzun süreli infüzyonunun, çoklu organ yetmezliği gelişmesini önlemedeki yerini araştırmayı amaçladık.Gereç ve Yöntem: Fakülte etik komite izni alındıktan sonra prospektif, randomize, çift kör, plasebo kontrollü çalışmaya 26 hasta alındı. Hastalar % 5 dekstroz solüsyonu içinde 40 mg/kg/gün NAS veya aynı hacimde % 5 dekstroz solüsyonu 4 eşit dozda alacak şekilde rasgele gruplandırıldı.İki hasta yoğun bakım yatış süreleri 24 saatten kısa olduğu için çalışma dışı bırakıldı.Tedavinin organ fonksiyonları üzerine etkisi Sequential Organ Failure Assessment (SOFA) skorlama sistemi ile hasta kabulünde ve hergün değerlendirildi. İstatistiksel analiz için Ki-kare ve Mann Whithney U testleri kullanıldı.Bulgular: NAS grubunda, maksimum SOFA koagülasyon skoru kontrol grubundan daha yüksek bulundu (p

🔖

Cite This Article

AKINCI, S. B., ERDEN, İ. A., AYPAR, Ü., KANBAK, M. (2022). The effect of N-acetylcysteine treatment to prevent the progression of multiple organ failure. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 33 - Sayı: 1, 76–81. https://ajindex.com/articles/620108

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Molnar Z, Shearer E, Lowe D. N-acetylcysteine treat¬ment to prevent the progression of multisystem organ fa¬ilure: a prospective, randomized, placebo-controlled study. Crit Care Med 1999; 27:1100-1104
  2. Winterbourn CC, Buss H, Chan TP, et al. Protein car-bonyl measurements show evidence of early oxidative stress in critically ill patients. Crit Care Med 2000; 28:143-149
  3. Jepsen S, Herlevsen P, Knudsen P, Bud MI, Klausen NO. Antioxidant treatment with N-acetylcysteine during adult respiratory distress syndrome: a prospective, rando¬mized, placebo-controlled study. Crit Care Med 1992; 20:918-923
  4. Anfossi G, Russo I, Massucco P, et al. N-acetyl-L-cysteine exerts direct anti-aggregating effect on human platelets. Eur J Clin Invest 2001; 31:452-461
  5. Peake SI, Moran JL, Leppard PI. N-acetylcysteine depresses cardiac performance in patients with septic shock. Crit Care Med 1996; 24:1302-1310
  6. Paterson RL, Galley HF, Webster NR. The effect of N-acetylcysteine on nuclear factor-kappa B activation, in-terleukin-6, interleukin-8, and intercellular adhesion molecule-1 expression in patients with sepsis. Crit Care Med 2003;31:2574-2578
  7. Ortolani O, Conti A, De Gaudio AR, et al. The effect of glutathione and N-acetylcysteine on lipoperoxidative damage in patients with early septic shock. Am J Respir Crit Care Med 2000; 161:1907-1911
  8. Spapen H, Zhang H, Demanet C, et al. Does N-Acetyl-L-Cysteine influence cytokine response during early human septic shock? Chest 1998; 113:1616-1624
  9. Spies CD, Reinhart K, Witt I. Influence of N-acetylcysteine on indirect indicators of tissue oxygenation in septic shock patients: Results from a prospective randomized, double-blind study. Crit Care Med 1994; 22:1738-1746
  10. LeGall JR, Lemeshow S, Saulnier F. A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA 1993; 270:2957-2963
  11. Vincent JL, Moreno R, Takala J. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction failure. Intensive Care Med 1996; 22:707-710
  12. Moreno R, Vincent JL, Matos R, et al. The use of maximum SOFA score to quantify organ dysfunction/failure in intensive care. Results of a prospective, multicenter study. Intensive Care Med 1999; 25:686-696
  13. Suter PM, Domighetti G, Schaller M, et al. N acetyl cysteine enhances recovery from acute lung injury in man. Chest 1994; 105:190-194
  14. Harman LS, Mottley C, Mason RP. Free radical metabolites of L-cyst