Feeding During Resuscitation After Burn Injury

被引:10
作者
Masch, Jessica L. [1 ]
Bhutiani, Neal [1 ]
Bozeman, Matthew C. [1 ]
机构
[1] Univ Louisville, Dept Surg, Div Trauma & Acute Care Surg, Louisville, KY 40292 USA
关键词
burns; critical illness; enteral nutrition; metabolism; nutrition support; parenteral nutrition; ENTERAL NUTRITION; PREVENTION; CATABOLISM; THERAPY; BARRIER; SHOCK;
D O I
10.1002/ncp.10400
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Burn injury results in a sustained hypermetabolic state with resulting increased caloric and protein requirements to support the stress and immune responses; augmented protein, fat, and carbohydrate catabolism; oxidative stress; and exudative losses. Along with surgical debridement, nutrition and resuscitation are the foundations of patient management after severe burn injury. Recent literature has demonstrated a clear benefit to early enteral nutrition initiation during the resuscitation period. This review aims to examine recent literature discussing both physiologic impact of burn injury and approaches to feeding during resuscitation after burn injury; including methods of determining nutrition requirements, routes, timing, and monitoring response and the associated benefits and consequences thereof.
引用
收藏
页码:666 / 671
页数:6
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