Citation

Störmann P, Lustenberger T, Relja B, Marzi I, Wutzler S. Injury 2017; 48(11): 2400-2406.

Affiliation

Department of Trauma, Hand and Reconstructive Surgery Hospital of the Johann Wolfgang Goethe - University Frankfurt am Main, Germany.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.injury.2017.08.041

PMID

28888717

Abstract

In severely injured patients severe thoracic trauma is common and can significantly influence the outcome of these critically ill patients by increased rates of mainly pulmonary complications. Furthermore, patients who sustained thoracic trauma are at increased risk for Acute Lung Injury (ALI) or Adult Respiratory Distress Syndrome (ARDS). Therapeutic options are limited, basically consisting of prophylactic antibiotic therapy and changing patient's positions. It is known, that ALI and ARDS differ clinically and pathobiologically from ALI/ARDS caused by other reasons, but the exact pathology remains elusive. Due to that no reliable predictive or surveillance biomarkers could be established for clinical diagnosis and identification of patients at high risk for acute traumatic lung injury. Nevertheless, there are plenty of promising markers that need to be further elucidated in larger case numbers and multicenter studies. This article sums up the recent status of those promising clinical biomarkers.

Copyright © 2017 Elsevier Ltd. All rights reserved.

Language: en

Keywords

Acute lung injury; Adult respiratory distress syndrome; Biomarker; Thoracic trauma