Caloric requirements in burned patients.
Adequate nutritional support is an important goal for the management of burn patients. Caloric requirements are higher than in any other major trauma or disease. The development of hypermetabolism and hypercatabolism leads to an increase in resting energy expenditure which depends on the severity of the injury. Therefore, with the intent to counteract these developments and their complications, a balanced carbohydrate, fat and protein intake should be adjusted to the actual needs. This paper gives a survey of the metabolic consequences of burns, reviews the underlying pathophysiology and tries to give practical guidelines for the nutritional support of the burn patient.
Pfisterer
M
M
Klinik für Anästhesiologie und operative Intensivmedizin, Marienhospital, Universitätsklinik der Ruhr-Universität Bochum.
Lessire
H
H
Kleine
R
R
Nolte
G
G
Puchstein
C
C
D002056:Burns / Q000503:physiopathology*; D050260:Carbohydrate Metabolism; D002149:Energy Intake; D004734:Energy Metabolism; D004750:Enteral Nutrition / Q000379:methods; D005260:Female; D006801:Humans; D050356:Lipid Metabolism; D008297:Male; D009751:Nutritional Requirements; D010288:Parenteral Nutrition / Q000379:methods; D011506:Proteins / Q000378:metabolism
D011506:Proteins