Bench-to-bedside review: Burn-induced cerebral inflammation--a neglected entity?

Abstract:

:Severe burn injury remains a major burden on patients and healthcare systems. Following severe burns, the injured tissues mount a local inflammatory response aiming to restore homeostasis. With excessive burn load, the immune response becomes disproportionate and patients may develop an overshooting systemic inflammatory response, compromising multiple physiological barriers in the lung, kidney, liver, and brain. If the blood-brain barrier is breached, systemic inflammatory molecules and phagocytes readily enter the brain and activate sessile cells of the central nervous system. Copious amounts of reactive oxygen species, reactive nitrogen species, proteases, cytokines/chemokines, and complement proteins are being released by these inflammatory cells, resulting in additional neuronal damage and life-threatening cerebral edema. Despite the correlation between cerebral complications in severe burn victims with mortality, burn-induced neuroinflammation continues to fly under the radar as an underestimated entity in the critically ill burn patient. In this paper, we illustrate the molecular events leading to blood-brain barrier breakdown, with a focus on the subsequent neuroinflammatory changes leading to cerebral edema in patients with severe burns.

journal_name

Crit Care

authors

Flierl MA,Stahel PF,Touban BM,Beauchamp KM,Morgan SJ,Smith WR,Ipaktchi KR

doi

10.1186/cc7794

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

215

issue

3

eissn

1364-8535

issn

1466-609X

pii

cc7794

journal_volume

13

pub_type

杂志文章,评审
  • Treatment of central line-associated bloodstream infections.

    abstract:: ...

    journal_title:Critical care (London, England)

    pub_type: 社论

    doi:10.1186/s13054-018-2249-9

    authors: Guenezan J,Drugeon B,Marjanovic N,Mimoz O

    更新日期:2018-11-16 00:00:00

  • Remifentanil for analgesia-based sedation in the intensive care unit.

    abstract::Providing effective analgesia and adequate sedation is a generally accepted goal of intensive care medicine. Due to its rapid, organ independent and predictable metabolism the short acting opioid remifentanil might be particularly useful for analgesia-based sedation in the intensive care unit (ICU). This hypothesis wa...

    journal_title:Critical care (London, England)

    pub_type: 评论,社论

    doi:10.1186/cc2421

    authors: Kuhlen R,Putensen C

    更新日期:2004-02-01 00:00:00

  • European Society of Intensive Care Medicine 14th annual congress, 30 September-3 October 2001, Geneva, Switzerland.

    abstract::The European Society of Intensive Care Medicine Annual Congress offers the opportunity for basic scientists and clinicians to share recent findings. Apart from the large number of free communications, several sessions of the congress were dedicated to state-of-the-art tutorials given by established speakers. The areas...

    journal_title:Critical care (London, England)

    pub_type:

    doi:10.1186/cc1063

    authors: Preiser JC

    更新日期:2001-12-01 00:00:00

  • Infections of respiratory or abdominal origin in ICU patients: what are the differences?

    abstract:INTRODUCTION:There are few data related to the effects of different sources of infection on outcome. We used the Sepsis Occurrence in Acutely ill Patients (SOAP) database to investigate differences in the impact of respiratory tract and abdominal sites of infection on organ failure and survival. METHODS:The SOAP study...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究

    doi:10.1186/cc8909

    authors: Volakli E,Spies C,Michalopoulos A,Groeneveld AB,Sakr Y,Vincent JL

    更新日期:2010-01-01 00:00:00

  • Deceased donor neutrophil gelatinase-associated lipocalin and delayed graft function after kidney transplantation: a prospective study.

    abstract:INTRODUCTION:Expanding the criteria for deceased organ donors increases the risk of delayed graft function (DGF) and complicates kidney transplant outcome. We studied whether donor neutrophil gelatinase-associated lipocalin (NGAL), a novel biomarker for acute kidney injury, could predict DGF after transplantation. MET...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc10220

    authors: Hollmen ME,Kyllönen LE,Inkinen KA,Lalla ML,Merenmies J,Salmela KT

    更新日期:2011-01-01 00:00:00

  • Impact of whole-body computed tomography on mortality and surgical management of severe blunt trauma.

    abstract:INTRODUCTION:The mortality benefit of whole-body computed tomography (CT) in early trauma management remains controversial and poorly understood. The objective of this study was to assess the impact of whole-body CT compared with selective CT on mortality and management of patients with severe blunt trauma. METHODS:Th...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc11375

    authors: Yeguiayan JM,Yap A,Freysz M,Garrigue D,Jacquot C,Martin C,Binquet C,Riou B,Bonithon-Kopp C,FIRST Study Group.

    更新日期:2012-06-11 00:00:00

  • Impact of intensive care on renal function before graft harvest: results of a monocentric study.

    abstract:BACKGROUND:The aim of life-support measures in brain-dead donors is to preserve the functional value of their organs. In renal transplantation, serum creatinine level is one of the criteria for graft harvest. The aim of this study was to assess the impact of intensive care on donor renal function through two criteria: ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc6120

    authors: Blasco V,Leone M,Bouvenot J,Geissler A,Albanèse J,Martin C

    更新日期:2007-01-01 00:00:00

  • Artificial neural networks as prediction tools in the critically ill.

    abstract::The past 25 years have witnessed the development of improved tools with which to predict short-term and long-term outcomes after critical illness. The general paradigm for constructing the best known tools has been the logistic regression model. Recently, a variety of alternative tools, such as artificial neural netwo...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章

    doi:10.1186/cc3507

    authors: Clermont G

    更新日期:2005-04-01 00:00:00

  • Re-tooling critical care to become a better intensivist: something old and something new.

    abstract::Developments in recent years have placed powerful new tools of diagnosis, therapy, and communication at the disposal of medicine in general, and of critical care in particular. The art of healing requires not only technical proficiency, but also personal connection, multidisciplinary teamwork, and commitment to the ve...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc14721

    authors: Marini JJ

    更新日期:2015-01-01 00:00:00

  • Initial therapy affects duration of diarrhoea in critically ill patients with Clostridioides difficile infection (CDI).

    abstract:BACKGROUND:Critically ill patients in the intensive care unit (ICU) are at high risk for developing Clostridioides difficile infections (CDI). Risk factors predicting their mortality or standardized treatment recommendations have not been defined for this cohort. Our goal is to determine outcome and mortality associate...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-019-2648-6

    authors: Manthey CF,Dranova D,Christner M,Drolz A,Kluge S,Lohse AW,Fuhrmann V

    更新日期:2019-12-09 00:00:00

  • Inhibition of caspase-1 activation in Gram-negative sepsis and experimental endotoxemia.

    abstract:INTRODUCTION:Down-regulation of ex-vivo cytokine production is a specific feature in patients with sepsis. Cytokine downregulation was studied focusing on caspase-1 activation and conversion of pro-interleukin-1β into interleukin-1β (IL-1β). METHODS:Peripheral blood mononuclear cells were isolated from a) 92 patients ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc9974

    authors: Giamarellos-Bourboulis EJ,van de Veerdonk FL,Mouktaroudi M,Raftogiannis M,Antonopoulou A,Joosten LA,Pickkers P,Savva A,Georgitsi M,van der Meer JW,Netea MG

    更新日期:2011-01-01 00:00:00

  • Relationship between acid-base status and inflammation in the critically ill.

    abstract:INTRODUCTION:There is a complex interplay between changes in acid-base components and inflammation. This manuscript aims to explore associations between plasma cytokines and chemokines and acid-base status on admission to intensive care. METHODS:We conducted a prospective cohort study in a 13-bed ICU in a tertiary-car...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc13993

    authors: Zampieri FG,Kellum JA,Park M,Ranzani OT,Barbeiro HV,de Souza HP,da Cruz Neto LM,da Silva FP

    更新日期:2014-07-17 00:00:00

  • Statistics review 4: sample size calculations.

    abstract::The present review introduces the notion of statistical power and the hazard of under-powered studies. The problem of how to calculate an ideal sample size is also discussed within the context of factors that affect power, and specific methods for the calculation of sample size are presented for two common scenarios, ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc1521

    authors: Whitley E,Ball J

    更新日期:2002-08-01 00:00:00

  • A French multicenter randomised trial comparing two dose-regimens of prothrombin complex concentrates in urgent anticoagulation reversal.

    abstract:INTRODUCTION:Prothrombin complex concentrates (PCC) are haemostatic blood preparations indicated for urgent anticoagulation reversal, though the optimal dose for effective reversal is still under debate. The latest generation of PCCs include four coagulation factors, the so-called 4-factor PCC. The aim of this study wa...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/cc11923

    authors: Kerebel D,Joly LM,Honnart D,Schmidt J,Galanaud D,Negrier C,Kursten F,Coriat P,Lex206 Investigator Group.

    更新日期:2013-01-10 00:00:00

  • Activated protein C in septic shock: a propensity-matched analysis.

    abstract:INTRODUCTION:The use of human recombinant activated protein C (rhAPC) for the treatment of severe sepsis remains controversial despite multiple reported trials. The efficacy of rhAPC remains a matter of dispute. We hypothesized that patients with septic shock who were treated with rhAPC had an improved in-hospital mort...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc10089

    authors: Sadaka F,O'Brien J,Migneron M,Stortz J,Vanston A,Taylor RW

    更新日期:2011-01-01 00:00:00

  • Mild decrease in heart rate during early phase of targeted temperature management following tachycardia on admission is associated with unfavorable neurological outcomes after severe traumatic brain injury: a post hoc analysis of a multicenter randomized

    abstract:BACKGROUND:The association between isolated admission heart rate (HR) and prognosis has been discussed, but not that between gross HR change and neurological outcome in patients with severe traumatic brain injury (TBI). In the acute phase of severe TBI, HR is influenced by several factors (e.g., pain, sympathetic activ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s13054-018-2276-6

    authors: Inoue A,Hifumi T,Kuroda Y,Nishimoto N,Kawakita K,Yamashita S,Oda Y,Dohi K,Kobata H,Suehiro E,Maekawa T,Brain Hypothermia (B-HYPO) Study Group in Japan.

    更新日期:2018-12-19 00:00:00

  • Alarms in the intensive care unit: how can the number of false alarms be reduced?

    abstract::Many alarms, as they now exist in most monitoring systems, are not usually perceived as helpful by the medical staff because of the high incidence of false alarms. This paper gives an overview of the problems related to their current design and the objectives of monitoring. The current approaches used to improve the s...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc1021

    authors: Chambrin MC

    更新日期:2001-08-01 00:00:00

  • Increasing mean arterial blood pressure in sepsis: effects on fluid balance, vasopressor load and renal function.

    abstract:INTRODUCTION:The objective of this study was to evaluate the effects of two different mean arterial blood pressure (MAP) targets on needs for resuscitation, organ dysfunction, mitochondrial respiration and inflammatory response in a long-term model of fecal peritonitis. METHODS:Twenty-four anesthetized and mechanicall...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc12495

    authors: Corrêa TD,Vuda M,Takala J,Djafarzadeh S,Silva E,Jakob SM

    更新日期:2013-01-30 00:00:00

  • New versus old blood - the debate continues.

    abstract::Since the inception of blood banking, refinements in laboratory processes have allowed for progressively longer storage times of red blood cells. Whilst advantageous for the logistics of stock management, the clinical impact of the duration of red blood cell storage prior to transfusion remains uncertain, and a topic ...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章

    doi:10.1186/cc8878

    authors: Laurie J,Wyncoll D,Harrison C

    更新日期:2010-01-01 00:00:00

  • Don't miss the diagnosis of sepsis!

    abstract::The early detection and treatment of sepsis are the most important factors in improving the outcome of patients with this condition. However, many patients admitted to hospital experience a long delay in the diagnosis of sepsis. Furthermore, it is not uncommon for febrile patients to be sent home from the Emergency De...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章

    doi:10.1186/s13054-014-0529-6

    authors: Marik PE

    更新日期:2014-09-27 00:00:00

  • Perioperative blood transfusion is associated with a gene transcription profile characteristic of immunosuppression: a prospective cohort study.

    abstract:INTRODUCTION:Blood transfusion in the perioperative period has frequently been associated with an excess of nosocomial infections. Whilst transfused whole blood induces specific host immune alteration that may predispose to nosocomial infections, the immunomodulating properties associated with leukodepleted blood remai...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-014-0541-x

    authors: Fragkou PC,Torrance HD,Pearse RM,Ackland GL,Prowle JR,Owen HC,Hinds CJ,O'Dwyer MJ

    更新日期:2014-10-01 00:00:00

  • Moving beyond tight glucose control to safe effective glucose control.

    abstract::The impressive benefits related to the use of tight glucose control by intensive insulin therapy have not been reproduced until now in multicenter large-scale prospective randomized trials. Although the reasons for these failures are not entirely clear, we suggest the use of a stepwise approach - Safe, Effective Gluco...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc6889

    authors: Krinsley JS,Preiser JC

    更新日期:2008-01-01 00:00:00

  • Exosomes from endothelial progenitor cells improve outcomes of the lipopolysaccharide-induced acute lung injury.

    abstract:BACKGROUND:The acute respiratory distress syndrome (ARDS) is characterized by disruption of the alveolar-capillary barrier resulting in accumulation of proteinaceous edema and increased inflammatory cells in the alveolar space. We previously found that endothelial progenitor cell (EPC) exosomes prevent endothelial dysf...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-019-2339-3

    authors: Zhou Y,Li P,Goodwin AJ,Cook JA,Halushka PV,Chang E,Zingarelli B,Fan H

    更新日期:2019-02-13 00:00:00

  • Longitudinal changes of inflammatory parameters and their correlation with disease severity and outcomes in patients with COVID-19 from Wuhan, China.

    abstract:BACKGROUND:Coronavirus disease 2019 (COVID-19) is a newly emerging infectious disease and rapidly escalating epidemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The pathogenesis of COVID-19 remains to be elucidated. We aimed to clarify correlation of systemic inflammation with disease s...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-020-03255-0

    authors: Zeng Z,Yu H,Chen H,Qi W,Chen L,Chen G,Yan W,Chen T,Ning Q,Han M,Wu D

    更新日期:2020-08-27 00:00:00

  • Multidrug Resistant Gram-Negative Bacteria in Community-Acquired Pneumonia.

    abstract::This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2019. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2019 . Further information about the Annual Update in Intensive Care and Emergency Medicine is available...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/s13054-019-2371-3

    authors: Cillóniz C,Dominedò C,Torres A

    更新日期:2019-03-09 00:00:00

  • The effect of earplugs during the night on the onset of delirium and sleep perception: a randomized controlled trial in intensive care patients.

    abstract:INTRODUCTION:This study hypothesised that a reduction of sound during the night using earplugs could be beneficial in the prevention of intensive care delirium. Two research questions were formulated. First, does the use of earplugs during the night reduce the onset of delirium or confusion in the ICU? Second, does the...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/cc11330

    authors: Van Rompaey B,Elseviers MM,Van Drom W,Fromont V,Jorens PG

    更新日期:2012-05-04 00:00:00

  • Measuring the anticoagulant effect of low molecular weight heparins in the critically ill.

    abstract::Antithrombotic prophylaxis in critically ill patients frequently fails. Venous thromboembolism is associated with adverse clinical outcomes, including a prolonged intensive care unit stay and death. A potential mechanism by which critically ill patients may be predisposed to antithrombotic failure is the inability to ...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章,评审

    doi:10.1186/cc4978

    authors: Crowther M,Lim W

    更新日期:2006-01-01 00:00:00

  • Augmented renal clearance in septic and traumatized patients with normal plasma creatinine concentrations: identifying at-risk patients.

    abstract:INTRODUCTION:Improved methods to optimize drug dosing in the critically ill are urgently needed. Traditional prescribing culture involves recognition of factors that mandate dose reduction (such as renal impairment), although optimizing drug exposure, through more frequent or augmented dosing, represents an evolving st...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc12544

    authors: Udy AA,Roberts JA,Shorr AF,Boots RJ,Lipman J

    更新日期:2013-02-28 00:00:00

  • Choice of hospital after out-of-hospital cardiac arrest--a decision with far-reaching consequences: a study in a large German city.

    abstract:INTRODUCTION:Between 1 and 31% of patients suffering out-of-hospital cardiac arrest (OHCA) survive to discharge from hospital. International studies have shown that the level of care provided by the admitting hospital determines survival for patients suffering from OHCA. These data may only be partially transferable to...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc11516

    authors: Wnent J,Seewald S,Heringlake M,Lemke H,Brauer K,Lefering R,Fischer M,Jantzen T,Bein B,Messelken M,Gräsner JT

    更新日期:2012-09-12 00:00:00

  • Clinical review: Prognostic value of magnetic resonance imaging in acute brain injury and coma.

    abstract::Progress in management of critically ill neurological patients has led to improved survival rates. However, severe residual neurological impairment, such as persistent coma, occurs in some survivors. This raises concerns about whether it is ethically appropriate to apply aggressive care routinely, which is also associ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc6107

    authors: Weiss N,Galanaud D,Carpentier A,Naccache L,Puybasset L

    更新日期:2007-01-01 00:00:00