Nutrition Considerations for Burn Patients: Optimizing Recovery and Healing

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-13 DOI:10.3390/ebj4040035

Beth A. Shields, Asia M. Nakakura

引用次数: 0

Abstract

The hypermetabolic and hypercatabolic responses to severe burns put nutrition support at the forefront of treatments. When left untreated, severe weight loss, increased infection, and wound healing failure can occur. Enteral nutrition is the primary method of nutrition support in such patients. Meeting caloric needs and a positive nitrogen balance are short-term goals of nutrition support, with long-term goals of minimizing lean body mass loss and maximizing wound healing. High-carbohydrate and low-fat nutrition received evidence from randomized controlled trials of aiding in decreasing pneumonia rates and was found to promote positive nitrogen balance, which lipids do not do. We go through the macronutrient and micronutrient needs of the burn patient as well as techniques for meeting these needs in the modern intensive care unit, with some discussion of alterations in these techniques that are required in the austere environment.

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烧伤患者的营养考虑:优化恢复和愈合

严重烧伤的高代谢和高分解反应使营养支持成为治疗的前沿。如果不及时治疗，可能会发生严重的体重减轻、感染增加和伤口愈合失败。肠内营养是这类患者营养支持的主要方法。满足热量需求和正氮平衡是营养支持的短期目标，长期目标是最小化瘦体重损失和最大化伤口愈合。随机对照试验表明，高碳水化合物和低脂营养有助于降低肺炎发病率，并能促进正氮平衡，这是脂质不能做到的。我们讨论了烧伤患者对宏量营养素和微量营养素的需求，以及在现代重症监护病房满足这些需求的技术，并讨论了在恶劣环境中需要的这些技术的变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.