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Nitric oxide - an indicator for severity of injury in polytrauma
Beitl, Evžen ; Hoch, Jiří (advisor) ; Cvachovec, Karel (referee) ; Zeman, Miroslav (referee)
- Part I (clinical study) Background: Patients with injuries to multiple organs or organ systems are in a serious risk of shock, multiorgan failure and death. Although there are scoring systems available to assess the extent of polytrauma and guide prognosis, their usefulness is limited by their considerably subjective nature. As the production of nitric oxide (NO) by many cell types is elevated by tissue injury, we hypothesized that serum concentration of NO (and its oxidation products, NOx) represents a suitable marker of polytrauma correlating with prognosis. We wanted to prove that nitric oxide can serve as an indicator for severity of injury in polytrauma. Methods: We measured serum NOx and standard biochemical parameters in 93 patients with various degrees of polytrauma, 15 patients with minor injuries and 20 healthy volunteers. Results: On admission, serum NOx was higher in patients with moderate polytrauma than in both controls and patients with minor injury, and it was even higher in patients with severe polytrauma. Surprisingly, NOx on admission was normal in the group of patients that required cardiopulmonary resuscitation or died within 48 hours after admission. In groups where it was elevated on admission, serum NOx dropped to normal values within 12 hours. Blood lactate levels on...
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Nitric oxide - an indicator for severity of injury in polytrauma
Beitl, Evžen ; Hoch, Jiří (advisor) ; Cvachovec, Karel (referee) ; Zeman, Miroslav (referee)
- Part I (clinical study) Background: Patients with injuries to multiple organs or organ systems are in a serious risk of shock, multiorgan failure and death. Although there are scoring systems available to assess the extent of polytrauma and guide prognosis, their usefulness is limited by their considerably subjective nature. As the production of nitric oxide (NO) by many cell types is elevated by tissue injury, we hypothesized that serum concentration of NO (and its oxidation products, NOx) represents a suitable marker of polytrauma correlating with prognosis. We wanted to prove that nitric oxide can serve as an indicator for severity of injury in polytrauma. Methods: We measured serum NOx and standard biochemical parameters in 93 patients with various degrees of polytrauma, 15 patients with minor injuries and 20 healthy volunteers. Results: On admission, serum NOx was higher in patients with moderate polytrauma than in both controls and patients with minor injury, and it was even higher in patients with severe polytrauma. Surprisingly, NOx on admission was normal in the group of patients that required cardiopulmonary resuscitation or died within 48 hours after admission. In groups where it was elevated on admission, serum NOx dropped to normal values within 12 hours. Blood lactate levels on...
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