Document Detail


Nitric oxide and human thermal injury short term outcome.
MedLine Citation:
PMID:  9677022     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 (NO2-/NO3-) plasma concentrations were determined in 27 burned patients admitted to the Burn Unit at Santa Maria 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.
Authors:
M do Rosário Caneira da Silva; H Mota Filipe; R M Pinto; Salaverría Timóteo de Carval; M M Godinho de Matos; A Cordeiro Ferreira; J M Toscano Rico
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  24     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-09-21     Completed Date:  1998-09-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  207-12     Citation Subset:  IM    
Affiliation:
Department of Pharmacology, Faculdade de Medicina de Lisboa, Hospital de Santa Maria, Lisbon, Portugal. caneira@esoterica.pt
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Biological Markers / blood
Burns / blood*,  mortality
Follow-Up Studies
Humans
Middle Aged
Nitrates / blood
Nitric Oxide / blood*
Nitrites / blood
Prognosis
Trauma Severity Indices
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Nitrates; 0/Nitrites; 10102-43-9/Nitric Oxide

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