Ion day. A ten MHz linear transducer was made use of along with the very

Ion day. A ten MHz linear transducer was made use of along with the very same intercostal space was scanned in all individuals. Measurements have been also performed at the same position from the proper upper-arm. All scans wereAvailable on-line http://ccforum.com/supplements/6/STable Intercostal muscle mass Group COPD Manage 1st day MM 0.28 ?0.01 0.42 ?0.04 5th day MM 0.20 ?0.01 0.31 ?0.03 MM 0.07 ?0.02 0.ten ?0.03 Upper arm muscle mass 1st day MM two.13 ?0.33 3.03 ?0.21 5th day MM 1.65 ?0.27 2.33 ?0.36 MM 0.47 ?0.33 0.70 ?0.performed by the identical sonographer. The corresponding variations (MM) had been EED226 site compared between the two groups of individuals with the aid on the Student t-test (P < 0.05). Results: Our results concerning measurements of muscle mass (in cm) are presented in the Table as mean values ?standard deviations. Intercostal and upper arm MM was significantly greater in the control group than in the COPD group in the 1st as well as in the 5th hospitalization day. MM thickness was significantly reduced between the 1st and the 5th hospitalization day in both the COPD and the control groups. Nevertheless, the MM difference betweenCOPD and controls was significant for intercostals (P < 0.03) and not significant for upper arm muscles. Conclusions: MM is significantly lower in COPD mechanically ventilated patients in comparison to other patients under ventilatory support. Muscle relaxants reduce significantly the MM in COPD patients requiring assisted ventilation. Nevertheless, the MM changes are not uniform in various muscles as indicated by the comparison of the COPD to the control group, concerning the intercostals and the upper arm muscles. It seems that a more precise and complete information for the reduction of MM should be estimated at different muscle groups.P215 Bombesine in critically ill patients receiving enteral and total parenteral nutritionM Moukas*, A Amygdalou*, E Palli*, G Giannopoulou*, K Mandragos*, YA Dalavanga, P Behrakis, M Vassiliou *Intensive Care Unit, Red Cross Hospital, 1 Athanassaki Street, Ampelokipi, 11526, Athens, Greece; Pneumonology Department, School of Medicine, University of Ioannina, Greece, 45150, Ioannina, Greece; Department of Experimental Physiology, School of Medicine, University of Athens, Greece, 75 Mikras Asias Street, Goudi, 11527, Athens, Greece Purpose: Bombesine (BN) is a hormone with a critical role on the control of the secretory gastrointestinal PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20726879 (GI) function along with the immunological sufficiency in the human body. The aim of this study should be to evaluate the influence of nutritional schedule (enteral vs total parenteral) on BN levels, during the initial 5 days of ICU hospitalization. Procedures: Twenty-one sedated and mechanically ventilated individuals have been randomly divided into two groups. Group A consisted of 11 individuals, who received continuous nasogastric nutrition, and Group B consisted of ten individuals, who received continuous Total Parenteral Nutrition (TPN). Serum hormone levels have been measured around the 2nd, 3rd and the 5th day of sufferers admission with radioimmunoassay approach. BN levels have been compared among the three measurements with the help of ANOVA for every group, while the corresponding measurements involving the two groups were compared using the aid of Wilcoxon test. Results: Values of BN (ng/ml) as imply values ?normal deviations during subsequent measurements within the two groups of sufferers are presented in the Table. No statistically considerable changes amongst hormone levels are observed in every single group for the three different.