Burn injury leads to hypovolemic then distributive shock. Fluid resuscitation remains the cornerstone of initial treatment of burn shock. However, fluid rescucitation can lead to fluid overload, which manifests most notably as lung edema. The peptide NT-pro-BNP, a biomarker of cardiac congestion secreted by the myocardium, as well as plasma CD146, an endothelial factor involved in angiogenesis and a marker of vascular congestion, may help identifying patients with risk of pulmonary edema and hypoxia . Our hypothesis is that these biomarkers may predict the occurence of pulmonary edema in severe burns patients.
Study Type
OBSERVATIONAL
Enrollment
36
Sabri SOUSSI
Paris, Île-de-France Region, France
RECRUITINGLung edema
Extravascular lung water (EVLW) \> 10 mL/Kg as measured by transpulmonary thermodilution (TPTD)
Time frame: During the first 7 days of admission
Hypoxemia
PaO2/FiO2 ratio of \<200
Time frame: During the first 7 days of admission for mechanically-ventilated patients
Hypercapnia
PaCO2\> 45 mmHg
Time frame: During the first 7 days of admission for mechanically-ventilated patients
Corrected minute ventilation > 10L/min
Minute ventilation × partial \[Paco2\]/40) \> 10L/min
Time frame: During the first 7 days of admission for mechanically-ventilated patients
Multiple organ dysfunction syndrome (MODS)
Sequential Organ Failure Assessment score (SOFA) ≥ 8
Time frame: During the first 7 days of admission
28-day mortality
Time frame: 28 days
90-day mortality
Time frame: 90 days
Length of stay in the ICU
Time frame: until 90 days of hospitalization
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