Journal
ANNALS OF MEDICINE AND SURGERY
Volume 36, Issue -, Pages 152-157Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.amsu.2018.10.026
Keywords
Lung contusion; Chest trauma; Ascorbic acid; Vitamin E
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Funding
- Kashan University of Medical Sciences
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There is association between lung contusion (lC) and a progressive inflammatory response. The protective effect of vitamin C and vitamin E, as strong free radical scavengers on favourite outcome of (LC) in animal models, has been confirmed. Design: to evaluate the effect of vitamins, E and Con arterial blood gas (ABG) and ICU stay, in (LC), with injury severity score (ISS) 18 +/- 2, due to blunt chest trauma. Methods: This study was a randomized, double-blind, placebo-controlled clinical trial. Patients with (ISS) 18 +/- 2 blunt chest trauma, who meet criteria, participated in the study. A total of 80 patients from Feb 2015 to Jun2018and were randomly divided into 4 groups. Patients received intravenous vitamin E (1000IU mg), was (group I); intravenous vitamin C (500) (group II). Vitamin C + vitamin E = (group III), and intravenous distilled water = (control group) or (group IV). ABG, serum cortisol, and CRP levels were determined at baseline, 24 h and 48 h after the intervention. Results: a significant decrease in ICU stay in group III compared to other groups (p < 0.001). Co-administration of vitamin C and vitamin E showed significant increases pH (values to reference range from acidemia), oxygen pressure, and oxygen saturation in group III compared to other groups (p < 0.001). A significant decrease in carbon dioxide pressure was also detected after receiving vitamin C and vitamin E in group III, compared to other groups (p < 0.001). There was no significant difference cortisol and CRP levels between groups after the intervention. Conclusion: Co-administration of vitamin C and vitamin E, improve the ABG parameters and reduce ICU stay.
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