Low Serum Cortisol in Term Newborns With Refractory Hypotension

Refractory intraoperative hypotension with elevated serum tryptase

Severe intraoperative hypotension has been reported in patients on angiotensin-converting enzyme inhibitors and angiotensin II receptor subtype 1 antagonists. We describe a patient on lisinopril who developed refractory intraoperative hypotension associated with increased serum tryptase level suggesting mast cell activation (allergic reaction). However, allergology workup ruled out an allergic ...

Colloids in Dialytic Refractory Hypotension

Salivary cortisol in low dose (1 microg) ACTH test in healthy women: comparison with serum cortisol.

To date, a single report has appeared on the use of salivary cortisol for adrenal function testing with a low dose ACTH, although 1 microg has become preferred as a more physiological stimulus than the commonly used 250 microg ACTH test. Our present study was aimed to obtain physiological data on changes of free salivary cortisol after 1 microg ACTH stimulation. This approach was compared with ...

Predictive value of umbilical cord serum bilirubin for subsequent jaundice in healthy term newborns

. Introduction: Jaundice is common in neonatal period and in severe type cause neurotoxicity (Kernicterus), so diagnosis and treatment of severe hyperbilirubinemia is very important. This study investigates the predictive value of umbilical cord serum bilirubin (UCSB) for subsequent jaundice in healthy term newborns. Methods: In this cross-sectional study, 341 normal term (gestational age>37 we...

Serum levels of lysozyme in term and preterm newborns.

Serum lysozyme levels were studied in term babies at the time of delivery and again between 7th and 30th postnatal days, and in preterm babies on the 1st, 3rd, and 5th postnatal days. Levels in term babies at delivery (mean 2.28 mug/ml) were similar to those found in adults, but they fell between the 7th and 30th postnatal days. In premature babies lysozyme levels on the first day of live (mean...