Nitric oxide and human thermal injury short term outcome

Nitric oxide (NO) is an important mediator in numerous physiological and pathophysiological events. After thermal injury an increase in plasma and urinary levels has been observed. The real importance of this fact is unknown. The stable NO derivatives ( NO 2 − NO 3 − ) plasma concentrations were det...

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Veröffentlicht in:Burns 1998-05, Vol.24 (3), p.207-212
Hauptverfasser: Caneira da Silva, Manuel do Rosário, Filipe, Helder Mota, Amaro Pinto, Rui Manuel, Salaverría Timóteo de Carvalho, Maria Francisca, Monteiro Godinho de Matos, Manuel Maria, Ferreira, Acácio Cordeiro, Gião Toscano Rico, JoséManuel
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container_end_page 212
container_issue 3
container_start_page 207
container_title Burns
container_volume 24
creator Caneira da Silva, Manuel do Rosário
Filipe, Helder Mota
Amaro Pinto, Rui Manuel
Salaverría Timóteo de Carvalho, Maria Francisca
Monteiro Godinho de Matos, Manuel Maria
Ferreira, Acácio Cordeiro
Gião Toscano Rico, JoséManuel
description Nitric oxide (NO) is an important mediator in numerous physiological and pathophysiological events. After thermal injury an increase in plasma and urinary levels has been observed. The real importance of this fact is unknown. The stable NO derivatives ( NO 2 − NO 3 − ) plasma concentrations were determined in 27 burned patients admitted to the Burn Unit at Santa Maria Hospital Hospital in Lisbon at first, third, fifth, seventh, ninth and 15th days and the values were compared with healthy controls ( n = 9). A significant increase ( P < 0.05) in burn patient determinations upon admission was found. The patients with inhalation injury revealed greater values compared to the other patients with statistical significance at 5th day ( P < 0.05). The patients who died showed a NO increase (0.397 ± 0.138 vs. 0.267 ± 0.017, P > 0.1, day 1) with significance at day 5 (0.615 ± 0.223 vs. 0.154 ± 0.048, P < 0.05). The determinations in patients with sepsis were higher than in the other patients ( P < 0.01) at day 3. No relation with total burned surface area (TBSA) was found. For the first time, considering burned patients, a significant increase of NO was found in patients who died, in patients with inhalation injury and in patients in sepsis. The possible role of NO in burn injury is discussed. The authors suggest the possible role of NO determination as an indicator of sepsis. The role of NO synthesis inhibitors is discussed. Further studies are needed to clarify these questions.
doi_str_mv 10.1016/S0305-4179(98)00014-X
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After thermal injury an increase in plasma and urinary levels has been observed. The real importance of this fact is unknown. The stable NO derivatives ( NO 2 − NO 3 − ) plasma concentrations were determined in 27 burned patients admitted to the Burn Unit at Santa Maria Hospital Hospital in Lisbon at first, third, fifth, seventh, ninth and 15th days and the values were compared with healthy controls ( n = 9). A significant increase ( P &lt; 0.05) in burn patient determinations upon admission was found. The patients with inhalation injury revealed greater values compared to the other patients with statistical significance at 5th day ( P &lt; 0.05). The patients who died showed a NO increase (0.397 ± 0.138 vs. 0.267 ± 0.017, P &gt; 0.1, day 1) with significance at day 5 (0.615 ± 0.223 vs. 0.154 ± 0.048, P &lt; 0.05). The determinations in patients with sepsis were higher than in the other patients ( P &lt; 0.01) at day 3. No relation with total burned surface area (TBSA) was found. For the first time, considering burned patients, a significant increase of NO was found in patients who died, in patients with inhalation injury and in patients in sepsis. The possible role of NO in burn injury is discussed. The authors suggest the possible role of NO determination as an indicator of sepsis. The role of NO synthesis inhibitors is discussed. 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After thermal injury an increase in plasma and urinary levels has been observed. The real importance of this fact is unknown. The stable NO derivatives ( NO 2 − NO 3 − ) plasma concentrations were determined in 27 burned patients admitted to the Burn Unit at Santa Maria Hospital Hospital in Lisbon at first, third, fifth, seventh, ninth and 15th days and the values were compared with healthy controls ( n = 9). A significant increase ( P &lt; 0.05) in burn patient determinations upon admission was found. The patients with inhalation injury revealed greater values compared to the other patients with statistical significance at 5th day ( P &lt; 0.05). The patients who died showed a NO increase (0.397 ± 0.138 vs. 0.267 ± 0.017, P &gt; 0.1, day 1) with significance at day 5 (0.615 ± 0.223 vs. 0.154 ± 0.048, P &lt; 0.05). The determinations in patients with sepsis were higher than in the other patients ( P &lt; 0.01) at day 3. No relation with total burned surface area (TBSA) was found. For the first time, considering burned patients, a significant increase of NO was found in patients who died, in patients with inhalation injury and in patients in sepsis. The possible role of NO in burn injury is discussed. The authors suggest the possible role of NO determination as an indicator of sepsis. The role of NO synthesis inhibitors is discussed. 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subjects Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Biomarkers - blood
Burns
Burns - blood
Burns - mortality
Follow-Up Studies
Humans
Medical sciences
Middle Aged
Nitrates - blood
Nitric oxide
Nitric Oxide - blood
Nitrites - blood
Outcome
Prognosis
Thermal injury
Trauma Severity Indices
Traumas. Diseases due to physical agents
title Nitric oxide and human thermal injury short term outcome
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