Interleukin-8 secretion following cardiopulmonary bypass in children as a marker of early postoperative morbidity

Background: Interleukin (IL)‐8, an 8 kDa peptide, is the first chemoattractant identified as being specific for neutrophils. Its possible association with early postoperative morbidity following cardiopulmonary bypass (CPB) in infants and children is unknown. This prospective cohort study sought possible roles of IL‐8 in the inflammatory response to CPB and investigated if changes in IL‐8 levels and clinical course and outcome were related. Methods: IL‐8 levels were measured in 16 children undergoing CPB. Systemic blood was collected after induction of anaesthesia (baseline), at 15 min after CPB onset and cessation, and at 1, 4, 8, 12 and 24 h thereafter Results: Correlation coefficients between IL‐8 levels and CPB time ranged from 0.45 to 0.55, heart rate 0.41–0.44, surgical time 0.41–0.63 and pH –0.56 to –0.50 (P 65 min. Conclusions: There was an association between IL‐8 and early postoperative heart rate, and the need for inotropic support IL‐8 correlated positively with surgical time, CPB time and heart rate and negatively with pH. IL‐8 release may be related to some of the haemodynamic changes in the early postoperative course following CPB. The relationship between IL‐8 and late markers of patient outcome in high‐risk infants awaits further studies.