[Effect of escharectomy and skin grafting of minipigs during burn shock stage on postburn energy expenditure].
OBJECTIVE
To determine the changes in resting energy expenditure (REE) of minipigs in normal and postburn stage, and the effect of escharectomy during burn shock stage on energy expenditure.


METHODS
Swine model with 35% TBSA III degree flame burn was used. Eighteen male minipigs were randomly divided into three groups: control group, escharectomy during burn shock stage group and escharectomy after burn shock stage group. REEs were monitored by means of Cardiorespiratory Diagnostic Systems (Medical Graphics Corporation, USA).


RESULTS
The levels of REE in escharectomy during burn shock stage group decreased early and were obviously lower than those in other two groups.


CONCLUSIONS
These findings suggest that escharectomy and skin grafting during burn shock stage could ameliorate hypermetabolism in major burn patients.
Hao
D
D
Burns Institute, 304th Hospital of PLA, Beijing, 100037, China.
Guo
Z
Z
Chai
J
J
D000818:Animals; D002056:Burns / Q000378:metabolism / Q000601:surgery*; D004734:Energy Metabolism; D008297:Male; D012774:Shock, Traumatic / Q000378:metabolism / Q000601:surgery*; D016038:Skin Transplantation; D013552:Swine; D013556:Swine, Miniature