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SINGLE‐TROCAR VIDEO‐ASSISTED FLEXIBLE THORACOSCOPIC DEBRIDEMENT UNDER LOCAL ANAESTHESIA FOR MULTILOCULATED PARAPNEUMONIC EMPYEMA

care unit of a subspecialty hospital between August 2017 to January 2018 involving mechanically ventilated patients suspected with VAP. The PCT level was obtained from the qualified subjects on the day of VAP suspicion. All tests were done using enzyme-linked fluorescent assay technique. Receiver operating characteristics analysis was used to determine the diagnostic parameters of PCT. The population was divided into VAP and no-VAP group. Results: A total of 58 patients were enrolled in this study. No significant difference was observed in preoperative characteristics between the VAP and non-VAP group. The occurrence of postoperative complications (P = 0.005), duration of ICU days (P = 0.02), and mortality (P = 0.005) were statistically significant in VAP group when compared with the nonVAP group. The optimum diagnostic PCT cut-off value for VAP on the day of suspicion was 1.77 ng/mL, with a sensitivity of 74% and specificity of 86%. The areas under the ROC curve was 0.84 Conclusion: The result suggested that PCT may be utilized as a diagnostic biomarker for pediatric VAP following cardiac surgery. AP269