The perioperative immune response

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The perioperative immune response.

PURPOSE OF REVIEW A host of immune modulators are now available in clinical practice. The perioperative period is characterized by profound alterations in host immunity, which can result in poor outcomes, which include infection, cancer recurrence and organ failure. Manipulation of the perioperative immune response has the potential to improve outcomes. A complete understanding of the mechanism...

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Perioperative cell-mediated immune response.

Innate and acquired immunity play a pivotal role in the host defense response. Pain, surgical stress, tissue injury and invasive micro-organisms are known to modulate complex immune responses in patients undergoing major surgery, which can lead to subsequent increased susceptibility to postoperative infections. Anesthetics may influence the immune response indirectly through modulation of the n...

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Perioperative Clinical Interventions That Modify the Immune Response in Cancer Patients

The immune system plays a pivotal role against cancer. The development of a successful immune response involves the balance between the Th1 (antitumor) and Th2 (protumor) responses. Once this balance is lost, diseases such as cancer may become apparent. Surgical stress, volatile anaesthetics, opioids and blood transfusions are known to favour a Th2 response that manifests as immune suppression....

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The perioperative immune/inflammatory insult in cancer surgery

Within the tumor microenvironment, non-specific innate immune responses can suppress adaptive cytotoxic immunity and hence promote tumor progression. Surgery and trauma provokes high-grade, non-specific inflammatory responses that suppress cell-mediated immunity. Here, the surgical resection of neoplastic lesions is considered in the context of antitumor immunity, providing the rationale for de...

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The factors influencing the immune response to hepatitis B vaccine and persistence of the protection.

 Hepatitis B virus (HBV) infection and its sequelae which include cirrhosis and hepatocellular carcinoma is a major public health problem throught the world.The WHO strategy for effective control of HBV infection is vaccination with the surface antigen of virus(HBsAg).The results obtained from a large number of studies demonstrated that the vaccine induces a protective antibody resonse (anti-HB...

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ژورنال

عنوان ژورنال: Current Opinion in Critical Care

سال: 2015

ISSN: 1070-5295

DOI: 10.1097/mcc.0000000000000213