Burns, metabolism and nutritional requirements

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dc.contributor.author Machado, Natasha Mendonça [UNIFESP]
dc.contributor.author Gragnani, Alfredo [UNIFESP]
dc.contributor.author Ferreira, Lydia Masako [UNIFESP]
dc.date.accessioned 2016-01-24T14:16:55Z
dc.date.available 2016-01-24T14:16:55Z
dc.date.issued 2011-07-01
dc.identifier http://scielo.isciii.es/pdf/nh/v26n4/05_revision_05.pdf
dc.identifier.citation Nutricion Hospitalaria. Madrid: Aula Medica Ediciones, v. 26, n. 4, p. 692-700, 2011.
dc.identifier.issn 0212-1611
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/33834
dc.description.abstract Objectives: To review the nutritional evaluation in burned patient, considering the literature descriptions of nutritional evaluation and energy requirements of these patients.Introduction: Thermal injury is the traumatic event with the highest metabolic response in critically ill patients. Various mathematical formulas have been developed to estimate nutritional requirements in burned patient. Indirect Calorimetry is the only method considered gold standard for measuring caloric expenditure.Methods: A survey of the literature and data was collected based on official data bases, LILACS, EMBASE and PubMed.Results: the metabolic changes involved in hypermetabolism are designed to supply energy to support immune function, brain activity, wound healing, and preservation of body tissues. Body weight is considered the easiest indicator and perhaps the best to assess the nutritional status. the most common formulas utilized in these patients are the Curreri, Pennisi, Schofield, Ireton-Jones, Harris-Benedict and the ASPEN recommendations. for children is the Mayes and World Health Organization formula. the majority of mathematical formulas overestimate the nutritional needs. the regular use of Indirect Calorimetry supplies adequate nutritional support to the burn patient.Discussion: the traditional nutritional evaluation considers anthropometry, biochemical markers and estimation of nutritional requirements. the weight provides a basis for decisions that are established in the clinical context. Classic parameters can be adapted to intensive care environment.Conclusions: the use of Indirect Calorimetry is crucial to ensure the safety of the nutritional support of burn patients and this should be widely encouraged. (Nutr Hosp. 2011;26:692-700) DOI:10.3305/nh.2011.26.4.5217 en
dc.format.extent 692-700
dc.language.iso eng
dc.publisher Aula Medica Ediciones
dc.relation.ispartof Nutricion Hospitalaria
dc.rights Acesso aberto
dc.subject Burns en
dc.subject Metabolism en
dc.subject Nutritional evaluation en
dc.title Burns, metabolism and nutritional requirements en
dc.title.alternative Quemaduras, el metabolismo y los requerimientos nutricionales es
dc.type Resenha
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo, Postgrad Course Surg, São Paulo, Brazil
dc.description.affiliation Universidade Federal de São Paulo, Div Plast Surg, Dept Surg, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Postgrad Course Surg, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Div Plast Surg, Dept Surg, São Paulo, Brazil
dc.identifier.file WOS000293152000005.pdf
dc.identifier.doi 10.3305/nh.2011.26.4.5217
dc.description.source Web of Science
dc.identifier.wos WOS:000293152000005



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