Nutrition of burned patients.
Burns form 5-12% of all traumas. About 2,200 of patients are annually hospitalized in Lithuania. In most cases people of the employable age get burned. The treatment is often long-lasting, and afterwards recovered patients often have invalidity from burn sequels. The mortality of hospitalized burned patients is about 10%. The most common causes of death are pulmonary edema, pneumonia, sepsis and multiorgan failure. All these complications are related with insufficient nutrition. These complications are extremely frequent and dangerous for patients with more than 20% of body burned. The nutritional support of burned patient gives a possibility to increase the survival probability, to decrease complication rate and hospitalization time. Currently in Lithuania there are no standards for burned patient nutrition. More attention is given to strategy of surgical strategy and techniques, as well as antibiotic therapy. This article is the review of the different aspects of artificial nutrition of burned patient: indications, modes of nutrition, mixtures and terms of nutritional support.
Gudaviciene
Daiva
D
Clinic of Surgery, Kaunas University of Medicine Hospital, Eiveniu 2, 3007 Kaunas, Lithuania. daikle@centras.lt
Rimdeika
Rytis
R
Adamonis
Kestutis
K
D000276:Adjuvants, Immunologic / Q000008:administration & dosage / Q000627:therapeutic use; D000328:Adult; D000465:Algorithms; D000818:Animals; D002056:Burns / Q000150:complications / Q000401:mortality / Q000628:therapy*; D015331:Cohort Studies; D000075202:Contraindications; D002149:Energy Intake; D004750:Enteral Nutrition / Q000295:instrumentation / Q000379:methods; D005260:Female; D005774:Gastrostomy; D005973:Glutamine / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D010288:Parenteral Nutrition; D011446:Prospective Studies; D051381:Rats; D012307:Risk Factors; D013997:Time Factors; D014945:Wound Healing
D000276:Adjuvants, Immunologic; D005973:Glutamine