Journal ArticleDOI
Nutrition support strategies for severely burned patients.
Reads0
Chats0
TLDR
It is demonstrated that early institution of enteral feeding can attenuate the stress response, abate hypermetabolism, and improve patient outcome in the burn patient.Abstract:
Significant weight loss is a common complication of a major burn injury. Before the modern era of early enteral nutrition support, such a complication contributed significantly to impaired wound healing, raised risk of infectious morbidity, and ultimately increased mortality. Nutrition management of the burn patient is designed to promote wound healing while minimizing loss of lean body mass. The burn patient characteristically demonstrates an increase in energy expenditure after the initial injury and period of resuscitation. Studies have demonstrated that early institution of enteral feeding can attenuate the stress response, abate hypermetabolism, and improve patient outcome.read more
Citations
More filters
Journal ArticleDOI
ISBI Practice Guidelines for Burn Care
Rajeev Ahuja,Vinita Puri,Nicole S. Gibran,David G. Greenhalgh,James C. Jeng,D.P. Mackie,A.M. Moghazy,Naiem Moiemen,Tina L Palmieri,Michael Peck,Michael Serghiou,Stuart Watson,Yvonne Wilson,Ariel Miranda Altamirano,Bechara Atieh,Alberto Bolgiani,Gretchen J. Carrougher,Dale W. Edgar,Linda Guerrero,Marella Hanumadass,Lisa Hasibuan,Helma Hofland,Ivette Lucia Icaza,L. Klein,Hajime Matsumura,R E Nnabuko,Arash Pirat,Nyoman Putu Riasa,Fiona M. Wood,Jun Wu,Xia Zhaofan,Paul P. M. van Zuijlen +31 more
TL;DR: The ISBI PGs for Burn Care have been written to address the needs of burn specialists everywhere in the world and to reduce costs by outlining effective and efficient recommendations for management of medical problems specific to burn care.
Journal ArticleDOI
Safety and effectiveness of prophylactic gastrostomy tubes for head and neck cancer patients undergoing chemoradiation.
Nam P. Nguyen,Debra North,Herbert J. Smith,Suresh Dutta,Alan A. Alfieri,Ulf Karlsson,Howard Lee,Tomas M. Martinez,C. Lemanski,Ly M. Nguyen,Adir Ludin,Sabah Sallah +11 more
TL;DR: Dysphagia resulting from the severe mucositis produced severe weight loss, despite tube feedings, and gastrostomy tubes should be placed prophylactically for patients undergoing chemoradiation for head and neck cancer.
Journal ArticleDOI
Impact of protein deficiency on venous ulcer healing
TL;DR: The prevalence of protein deficiency in out-patients with leg ulcers is high and significantly associated with a poor healing prognosis and the parameter's prognostic value for wound outcome is significant.
Journal ArticleDOI
Nutritional therapy for burns in children and adults.
Melissa M. Chan,Gary M. Chan +1 more
TL;DR: The nutritional care for adults and children with major burns is discussed, with a focus on parenteral and enteral feedings, to reduce infection, recovery time, and long-term sequelae.
Journal ArticleDOI
Augmented Exercise in the Treatment of Deconditioning From Major Burn Injury
Barbara J. de Lateur,Barbara J. de Lateur,Gina Magyar-Russell,Gina Magyar-Russell,Melissa G. Bresnick,Melissa G. Bresnick,Faedra A. Bernier,Michelle S. Ober,Michelle S. Ober,Brian J. Krabak,Brian J. Krabak,L. Ware,L. Ware,Michael P. Hayes,James A. Fauerbach,James A. Fauerbach +15 more
TL;DR: The aerobic capacity of adult burn survivors can be improved with participation in a structured, 12-week exercise program after injury.
References
More filters
Journal ArticleDOI
Intensive Insulin Therapy in Critically Ill Patients
Greet Van den Berghe,Pieter Wouters,Frank Weekers,Charles Verwaest,Frans Bruyninckx,Miet Schetz,Dirk Vlasselaers,Patrick Ferdinande,Peter Lauwers,Roger Bouillon +9 more
TL;DR: Intensive insulin therapy to maintain blood glucose at or below 110 mg per deciliter reduces morbidity and mortality among critically ill patients in the surgical intensive care unit.
Journal ArticleDOI
Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients
TL;DR: Significant potential benefit from implementing evidence-based clinical practice guidelines for nutrition support in critically ill adults is improved clinical outcomes of critically ill patients (reduced mortality and ICU stay) and potential harms of implementing these guidelines include increased complications and costs related to the suggested interventions.
Journal ArticleDOI
Early enteral feeding, compared with parenteral, reduces postoperative septic complications. The results of a meta-analysis.
Frederick A. Moore,David V. Feliciano,Richard J. Andrassy,A. Mcardle,Frank McL. Booth,Tina Morgenstein-Wagner,John M. Kellum,Richard E. Welling,Ernest E. Moore +8 more
TL;DR: This meta-analysis attests to the feasibility of early postoperative TEN in high-risk surgical patients and that these patients have reduced septic morbidity rates compared with those administered TPN.
Journal ArticleDOI
Catecholamines: mediator of the hypermetabolic response to thermal injury.
TL;DR: Feeding burn patients or administering glucose and insulin improved nitrogen retention and altered substrate flow but did not significantly reduce urinary catecholamines or metabolic rate, which would explain the metabolic response to thermal injury.