Nutrition and metabolism in burn patients
Abstract 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. Meta...
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Oxford University Press
2017-04-01
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Online Access: | http://link.springer.com/article/10.1186/s41038-017-0076-x |
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doaj-d2e6259495154b72a7d899a2caf93b6d2020-11-25T03:26:55ZengOxford University PressBurns & Trauma2321-38762017-04-015111210.1186/s41038-017-0076-xNutrition and metabolism in burn patientsAudra Clark0Jonathan Imran1Tarik Madni2Steven E. Wolf3University of Texas Southwestern Medical CenterUniversity of Texas Southwestern Medical CenterUniversity of Texas Southwestern Medical CenterUniversity of Texas Southwestern Medical CenterAbstract 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.http://link.springer.com/article/10.1186/s41038-017-0076-xBurnNutritionMetabolismCritical care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Audra Clark Jonathan Imran Tarik Madni Steven E. Wolf |
spellingShingle |
Audra Clark Jonathan Imran Tarik Madni Steven E. Wolf Nutrition and metabolism in burn patients Burns & Trauma Burn Nutrition Metabolism Critical care |
author_facet |
Audra Clark Jonathan Imran Tarik Madni Steven E. Wolf |
author_sort |
Audra Clark |
title |
Nutrition and metabolism in burn patients |
title_short |
Nutrition and metabolism in burn patients |
title_full |
Nutrition and metabolism in burn patients |
title_fullStr |
Nutrition and metabolism in burn patients |
title_full_unstemmed |
Nutrition and metabolism in burn patients |
title_sort |
nutrition and metabolism in burn patients |
publisher |
Oxford University Press |
series |
Burns & Trauma |
issn |
2321-3876 |
publishDate |
2017-04-01 |
description |
Abstract 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. |
topic |
Burn Nutrition Metabolism Critical care |
url |
http://link.springer.com/article/10.1186/s41038-017-0076-x |
work_keys_str_mv |
AT audraclark nutritionandmetabolisminburnpatients AT jonathanimran nutritionandmetabolisminburnpatients AT tarikmadni nutritionandmetabolisminburnpatients AT stevenewolf nutritionandmetabolisminburnpatients |
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