perioperative melatonin secretion in patients undergoing coronary artery bypass graft surgery a pilot study围手术期褪黑激素分泌在接受冠状动脉搭桥手术的患者一个试点研究.pdf

Available online /supplements/5/SA Meeting abstracts Selected abstracts from the Autumn Scientific Meeting of the Association of Cardiothoracic Anaesthetists 3 November 2000, Windermere, UK Association of Cardiothoracic Anaesthetists Critical Care 2001, 5(Suppl A):1–7 The publication of these abstracts was made possible by an © 2001 BioMed Central Ltd unrestricted educational grant from Bayer Biological Group (Print ISSN 1364-8535; Online ISSN 1466-609X) Illusions and ‘delusions’ in cardiac surgical patients after prolonged intensive care unit stay O Allenby-Smith, JMT Pierce Southampton General Hospital, Southampton, UK Introduction: A follow up after discharge from intensive care 60% of which involved members of staff. The mean number of unit (ICU) [1] revealed that vivid ‘dreams’ occur in 32% of ‘normal’ events remembered in the ICU was significantly higher patients. Although it is questionable whether these are dreams in group D (P 0.001). Sepsis and midazolam usage were in the true sense, there is no doubting their impact on the suf- more common in group D (odds ratios 3.6, 95% confidence ferer, as has been described by anecdotal and published interval 1.7–7.3 for sepsis; odds ratio 2.9, 95% confidence accounts [2]. Aetiological factors are unknown. We undertook interval 1.3–6.2 for midazolam). The development of new neu- a study of a relatively homogeneous population who had under- rological signs while in the ICU protected against dreams gone cardiac surgery in order to identify the incidence of (odds ratio 0.3, 95% confidence interval 0.1–0.7). Flashbacks ‘dreams’, to identify possibly causative factors