B Nurs, MPhil, PhD Charmaine Childs (Scientist, MRC Trauma Group (NWIRC), Honorary Research Fellow, Department of Child Health, University of Manchester)
{"title":"5营养","authors":"B Nurs, MPhil, PhD Charmaine Childs (Scientist, MRC Trauma Group (NWIRC), Honorary Research Fellow, Department of Child Health, University of Manchester)","doi":"10.1016/S0950-3501(97)80017-7","DOIUrl":null,"url":null,"abstract":"<div><p>Hospital nutrition continues to be a major problem in contemporary medicine. All too often the importance of feeding critically ill and injured patients is overlooked as emergency medical procedures take priority. Malnutrition in hospital is common but preventable. The importance of feeding the critically injured patient is discussed. A critical assessment of energy and protein requirements in burn-injured adults and children is given in the light of the many changes in treatment over the last 10 years. The mechanisms of burn-induced immunosuppression and the nutrition/infection interactions are described. The route and timing of feeding, and its importance in protecting the gut organ, are considered. Finally, there is now hope for the future in an emerging branch of nutrition. Nutritional immunomodulation of the diet of burn patients may provide the means to improve immune function and ultimately improve resistance to infection. Early enteral nutrition appropriate to the patients' requirements is the preferred method of nutrition for burns patients.</p></div>","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0950-3501(97)80017-7","citationCount":"0","resultStr":"{\"title\":\"5 Nutrition\",\"authors\":\"B Nurs, MPhil, PhD Charmaine Childs (Scientist, MRC Trauma Group (NWIRC), Honorary Research Fellow, Department of Child Health, University of Manchester)\",\"doi\":\"10.1016/S0950-3501(97)80017-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Hospital nutrition continues to be a major problem in contemporary medicine. All too often the importance of feeding critically ill and injured patients is overlooked as emergency medical procedures take priority. Malnutrition in hospital is common but preventable. The importance of feeding the critically injured patient is discussed. A critical assessment of energy and protein requirements in burn-injured adults and children is given in the light of the many changes in treatment over the last 10 years. The mechanisms of burn-induced immunosuppression and the nutrition/infection interactions are described. The route and timing of feeding, and its importance in protecting the gut organ, are considered. Finally, there is now hope for the future in an emerging branch of nutrition. Nutritional immunomodulation of the diet of burn patients may provide the means to improve immune function and ultimately improve resistance to infection. Early enteral nutrition appropriate to the patients' requirements is the preferred method of nutrition for burns patients.</p></div>\",\"PeriodicalId\":80610,\"journal\":{\"name\":\"Bailliere's clinical anaesthesiology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1997-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/S0950-3501(97)80017-7\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Bailliere's clinical anaesthesiology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0950350197800177\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bailliere's clinical anaesthesiology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0950350197800177","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Hospital nutrition continues to be a major problem in contemporary medicine. All too often the importance of feeding critically ill and injured patients is overlooked as emergency medical procedures take priority. Malnutrition in hospital is common but preventable. The importance of feeding the critically injured patient is discussed. A critical assessment of energy and protein requirements in burn-injured adults and children is given in the light of the many changes in treatment over the last 10 years. The mechanisms of burn-induced immunosuppression and the nutrition/infection interactions are described. The route and timing of feeding, and its importance in protecting the gut organ, are considered. Finally, there is now hope for the future in an emerging branch of nutrition. Nutritional immunomodulation of the diet of burn patients may provide the means to improve immune function and ultimately improve resistance to infection. Early enteral nutrition appropriate to the patients' requirements is the preferred method of nutrition for burns patients.
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