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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Rodriguez, NA; Jeschke, MG; Williams, FN; Kamolz, LP; Herndon, DN.
Nutrition in burns: Galveston contributions.
JPEN J Parenter Enteral Nutr. 2011; 35(6): 704-714.
Doi: 10.1177/0148607111417446
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- Co-authors Med Uni Graz
- Kamolz Lars-Peter
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- Abstract:
- Aggressive nutrition support is recommended following severe burn injury. Initially, such injury results in a prolonged and persistent hypermetabolic response mediated by a 10- to 20-fold elevation in plasma catecholamines, cortisol, and inflammatory mediators. This response leads to twice-normal metabolic rates, whole-body catabolism, muscle wasting, and severe cachexia. Thus, it is relevant to review the literature on nutrition in burns to adjust/update treatment. Failure to meet the increased substrate requirements may result in impaired wound healing, multiorgan dysfunction, increased susceptibility to infection, and death. Therefore, aggressive nutrition support is essential to ensure adequate burn care, attenuate the hypermetabolic response, optimize wound healing, minimize devastating catabolism, and reduce morbidity and mortality. Here, the authors provide nutrition recommendations gained from prospective trials, retrospective analyses, and expert opinions based on the authors' practices in Galveston, Texas, and Vienna, Austria.
- Find related publications in this database (using NLM MeSH Indexing)
- Burns - complications Burns - metabolism Burns - therapy
- Energy Metabolism -
- Humans -
- Infection -
- Multiple Organ Failure -
- Nutritional Requirements -
- Nutritional Support -
- Practice Guidelines as Topic -
- Wound Healing -
- Find related publications in this database (Keywords)
- adult
- pediatrics
- burns
- critical care
- trauma
- wound healing
- enteral nutrition