Red blood cell and tissue water content in experimental thermal injury.

UNLABELLED Oedema formation and changes in local blood flow are known phenomena in burns. The relationship between these two is not clearly described. The aim of this study was firstly to examine both the contents of red blood cells and tissue water in skin and subcutaneous fat after experimental burns of different depths in pigs, and secondly, to confirm our recent findings of the increased dielectric constant of skin and subcutaneous fat reflecting considerable oedema formation, especially in fat after thermal injury. METHODS Superficial, partial and full thickness contact burns were created to pigs and followed for 24h. Radioactive Cr-51 labelling of red cells was used to estimate the number of red cells in tissue, and the absolute amount of water was determined by lyophilization. RESULTS A decreased number of labelled red cells in skin and an increase in tissue water in subcutaneous fat were found regardless of burn depth. The highest water amount in fat was found in the partial thickness burns. CONCLUSION All burn depths resulted in a diminished number of labelled red blood cells in skin and a significant increase in the absolute water amount in subcutaneous fat at 24h post injury. The findings in fat support our recent findings of highly elevated dielectric constants measured by the new in vivo method of dielectric measurements.

[1]  W. Garner Total Burn Care, 2nd ed. , 2003 .

[2]  G. Merrill,et al.  Regional blood flow redistribution during early burn shock in the guinea pig. , 1977, Circulatory shock.

[3]  K. S. Lau Methods in Haematology, Vol. 10, The Cobalamins, Charles A. Hall (Ed.). Churchill Livingstone, Edinburgh, London, Melbourne and New York (1983), 219, ISBN 0 443 02769 2. $56.00 , 1985 .

[4]  E. Alanen,et al.  A dielectric method for measuring early and late reactions in irradiated human skin. , 1998, Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology.

[5]  G. Arturson,et al.  Oedema measurements in a standard burn model. , 1985, Burns, including thermal injury.

[6]  S. Lewis,et al.  Radionuclides in Haematology , 1985 .

[7]  T. Lundeberg,et al.  Acute microcirculatory changes after scalding of the rat paw. , 1997, Acta physiologica Scandinavica.

[8]  Roland N. Pittman,et al.  Microcirculation of a scald burn: An in vivo experimental study of the hairless mouse ear , 1981 .

[9]  L. Traber,et al.  Microvascular changes in large flame burn wound in sheep. , 2002, Burns : journal of the International Society for Burn Injuries.

[10]  A. Papp,et al.  The progression of burn depth in experimental burns: a histological and methodological study. , 2004, Burns : journal of the International Society for Burn Injuries.

[11]  • Epidermis,et al.  WOUND healing. , 1959, The Medical journal of Australia.

[12]  T. M. Chen,et al.  Regional skin blood flow in deep burn wounds: a preliminary report. , 1995, Burns : journal of the International Society for Burn Injuries.

[13]  L L Leape,et al.  Early burn wound changes. , 1968, Journal of pediatric surgery.

[14]  W. Wolberg,et al.  The study of burn wound edema using dichromatic absorptiometry. , 1978, The Journal of trauma.

[15]  E. Eriksson Art and Science of Burn Care , 1988 .

[16]  M. Robson,et al.  Dermal ischemia in the burn wound. , 1977, The Journal of surgical research.

[17]  Douglas MacG. Jackson,et al.  The diagnosis of the depth of burning , 1953, The British journal of surgery.

[18]  M. Sokawa,et al.  The relationship between experimental fluid therapy and wound edema in scald wounds. , 1981, Annals of surgery.