Nutrition and Metabolic Support in Burn

ERGİN ÖZCAN P.

JOURNAL OF THE TURKISH SOCIETY OF INTENSIVE CARE-TURK YOGUN BAKM DERNEGI DERGISI, cilt.9, sa.1, ss.21-25, 2011 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 9 Sayı: 1
  • Basım Tarihi: 2011
  • Dergi Adı: JOURNAL OF THE TURKISH SOCIETY OF INTENSIVE CARE-TURK YOGUN BAKM DERNEGI DERGISI
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI)
  • Sayfa Sayıları: ss.21-25
  • Anahtar Kelimeler: Nutrition, enteral feeding, burn, metabolism, ENTERAL NUTRITION, HYPERMETABOLISM, GLUTAMINE, ARGININE, KINETICS
  • İstanbul Üniversitesi Adresli: Evet

Özet

Burn injury results in a dramatic increase of the basal metabolic rate. Severe burn injury nearly doubles resting energy expenditure and hypermetabolism associated with burn results in a loss of body fat stores and a loss of visceral and structural protein mass. The clinical effects of these changes include immunosuppression, delayed wound healing, and generalized muscle weakness. Post burn, the metabolic and catabolic responses are prolonged in severity and time course, lasting weeks to months in contrast to the days and weeks observed in other injuries. Nutrition support provides the substrates and nutrients to prevent the complications of deficiencies as well as supporting wound healing, and recovery from hormonal and metabolic abnormalities after thermal injury.