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2017 ; 5
(ä): 11
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Nutrition and metabolism in burn patients
#MMPMID28428966
Clark A
; Imran J
; Madni T
; Wolf SE
Burns Trauma
2017[]; 5
(ä): 11
PMID28428966
show ga
Severe burn causes significant metabolic derangements that make nutritional
support uniquely important and challenging for burned patients. Burn injury
causes a persistent and prolonged hypermetabolic state and increased catabolism
that results in increased muscle wasting and cachexia. Metabolic rates of burn
patients can surpass twice normal, and failure to fulfill these energy
requirements causes impaired wound healing, organ dysfunction, and susceptibility
to infection. Adequate assessment and provision of nutritional needs is
imperative to care for these patients. There is no consensus regarding the
optimal timing, route, amount, and composition of nutritional support for burn
patients, but most clinicians advocate for early enteral nutrition with
high-carbohydrate formulas. Nutritional support must be individualized,
monitored, and adjusted throughout recovery. Further investigation is needed
regarding optimal nutritional support and accurate nutritional endpoints and
goals.