Skip to main content
Top
Published in: Oral and Maxillofacial Surgery 2/2018

01-06-2018 | Original Article

Prevalence of the systemic inflammatory response syndrome in patients who underwent orthognathic surgery

Authors: Magno Liberato Silva, Andréia Ferreira Ribeiro, Fábio Ricardo Loureiro Sato, Roger William Fernandes Moreira

Published in: Oral and Maxillofacial Surgery | Issue 2/2018

Login to get access

Abstract

Purpose

The systemic inflammatory response syndrome (SIRS) is the body’s response to an insult, such as infection, trauma, burn, and surgical stress linked to several factors deemed potential for multiple organ failure if left untreated. Thus, the aim of this paper was a prospective study to examine the incidence of SIRS in postoperative patients who underwent orthognathic surgery from June/2013 to July/2016.

Methods

The sample consisted of 80 patients who underwent bimaxillary orthognathic surgery, with data on vital signs and white blood cell count collected preoperatively, and the same data collected in the immediate postoperative period, in addition to CO2 pressure in arterial blood by blood gas analysis. The data were tabulated and cases of SIRS (2 or more signs out of four pre-set signs) were identified within 24 h after surgery.

Results

From the sample of 80 patients, 26 (32.5% of total) patients had SIRS with higher incidence in females who are 40 years old.

Conclusion

The incidence of patients who develop SIRS after orthognathic surgery is relatively high and we should pay attention to the possible complications that these cases can evolve.
Literature
1.
go back to reference Bone RC, Balk RA, Cerra FB, Dellinger RP, Fein AM, Knaus WA, Schein RM, Sibbald WJ (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. Chest 101:1644–1655CrossRefPubMed Bone RC, Balk RA, Cerra FB, Dellinger RP, Fein AM, Knaus WA, Schein RM, Sibbald WJ (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. Chest 101:1644–1655CrossRefPubMed
2.
go back to reference Bone RC (1992) Toward an epidemiology and natural history of SIRS (systemic inflammatory response syndrome). JAMA 268:3452–3455CrossRefPubMed Bone RC (1992) Toward an epidemiology and natural history of SIRS (systemic inflammatory response syndrome). JAMA 268:3452–3455CrossRefPubMed
3.
go back to reference Bone RC (1997) Systemic inflammatory response syndrome: a unifying concept of systemic inflammation. In: Fein A, Abraham A et al (eds) Sepsis and Multiorgan Failure. Lippencott, Williams, & Wilkins, Philadelphia, pp 1–10 Bone RC (1997) Systemic inflammatory response syndrome: a unifying concept of systemic inflammation. In: Fein A, Abraham A et al (eds) Sepsis and Multiorgan Failure. Lippencott, Williams, & Wilkins, Philadelphia, pp 1–10
4.
go back to reference Bone RC (1996) Toward a theory regarding the pathogenesis of the systemic inflammatory response syndrome: what we do and do not know about cytokine regulation. Crit Care Med 24:163–172CrossRefPubMed Bone RC (1996) Toward a theory regarding the pathogenesis of the systemic inflammatory response syndrome: what we do and do not know about cytokine regulation. Crit Care Med 24:163–172CrossRefPubMed
5.
go back to reference Rangel-Fausto MS, Pittet D, Costigan M, Hwang T, Davis CS, Wenzel RP (1995) The natural history of the systemic inflammatory response syndrome (SIRS). A prospective study. JAMA 273:117–123CrossRef Rangel-Fausto MS, Pittet D, Costigan M, Hwang T, Davis CS, Wenzel RP (1995) The natural history of the systemic inflammatory response syndrome (SIRS). A prospective study. JAMA 273:117–123CrossRef
6.
go back to reference Pittet D, Rangel-Fausto MS, Li N, Tarara D, Costigan M, Rempe L, Jebson P, Wenzel RP (1995) Systemic inflammatory response syndrome, sepsis, severe sepsis and septic shock: incidence, morbidities and outcomes in surgical ICU patients. Int Care Med 21:302–309CrossRef Pittet D, Rangel-Fausto MS, Li N, Tarara D, Costigan M, Rempe L, Jebson P, Wenzel RP (1995) Systemic inflammatory response syndrome, sepsis, severe sepsis and septic shock: incidence, morbidities and outcomes in surgical ICU patients. Int Care Med 21:302–309CrossRef
7.
go back to reference Yajima Y, Noma H, Kasahara K, Takeda E (2000) Systemic inflammatory response syndrome and postoperative complications after oral cancer surgery. Bull Tokyo Dent Coll 41:187–194CrossRef Yajima Y, Noma H, Kasahara K, Takeda E (2000) Systemic inflammatory response syndrome and postoperative complications after oral cancer surgery. Bull Tokyo Dent Coll 41:187–194CrossRef
8.
go back to reference Kasahara K, Yajima Y, Ikeda C, Kamiyama I, Takaki T, Kakizawa T, Shibahara T (2009) Systemic inflammatory response syndrome and postoperative complications after orthognathic surgery. Bulletin of Tokyo Dental College 50:41–50CrossRefPubMed Kasahara K, Yajima Y, Ikeda C, Kamiyama I, Takaki T, Kakizawa T, Shibahara T (2009) Systemic inflammatory response syndrome and postoperative complications after orthognathic surgery. Bulletin of Tokyo Dental College 50:41–50CrossRefPubMed
Metadata
Title
Prevalence of the systemic inflammatory response syndrome in patients who underwent orthognathic surgery
Authors
Magno Liberato Silva
Andréia Ferreira Ribeiro
Fábio Ricardo Loureiro Sato
Roger William Fernandes Moreira
Publication date
01-06-2018
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 2/2018
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-018-0692-z

Other articles of this Issue 2/2018

Oral and Maxillofacial Surgery 2/2018 Go to the issue