Burns
Conditions
Keywords
Burns
Brief summary
The purpose of this study is to see if intravenous Vitamin C will decrease the amount of IV fluids needed following burn injury in the first 48 hours.
Detailed description
Adequate fluid resuscitation in burn injured patients to allow adequate renal blood flow has been the hallmark of burn care in the last 50 years. The danger of exceeding the optimal intravenous fluid resuscitation has resulted in severe complications including abdominal compartment syndrome, loss of upper airway control, extremity compartment syndromes and pulmonary edema. Hig dose vitamin C infusion during the first 24 hours of burn resuscitation has been documented to decrease the overall amount of intravenous fluid needed to provide for adequate renal perfusion and hemodynamic stability in multiple animal model studies. High dose vitamin C is thought to decrease postburn microvascular protein and fluid leakage by reducing postburn lipid oxygenation caused by burn injury generated free radicals.
Interventions
vitamin C IV during 24 hour period following burn
IV vitamin C
Sponsors
Study design
Eligibility
Inclusion criteria
* \>/= 20% total body surface area full and partial thickness burns * Admitted to the USAISR burn center within 10 hours post injury
Exclusion criteria
* Pregnant or breast feeding * Documented preadmission or admission renal failure * History of glucose-6-phosphate dehydrogenase deficiency, kidney stoves, gout or sickle cell * Electrical injury * Renal replacement of any kind\<24 hours after admission
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Document a significantly lower intravenous fluid requirement per percent total body surface area burn in the High Dose Vitamin C group | 72 hours |
| Document a significantly higher number of mechanical ventilator free days | 7 days |
| Document a significantly lower complication and infection rate in the Vitamin C group | 7 days |
| Document decreased lipid peroxidation by monitoring serum malondialdehyde (MDA) level | 72 hours |
Secondary
| Measure | Time frame |
|---|---|
| Document a lower incidence of organ failure | 30 days |
Countries
United States