التفاصيل البيبلوغرافية
| العنوان: |
Guidelines for specialized nutritional and metabolic support in the critically-ill patient. Update. Consensus SEMICYUC-SENPE: Critically-ill burnt patient. |
| المؤلفون: |
de Lorenzo y Mateos, A. García1 agdl@telefonica.net, Leyba, C. Ortiz2, Sánchez, S. M.1 |
| المصدر: |
Nutrición Hospitalaria. nov2011 suplemento, p59-62. 4p. |
| مصطلحات موضوعية: |
*BURN patients, *BURNS & scalds, *HOSPITAL patients -- Nutrition, *CRITICALLY ill, *NUTRITIONAL assessment, *PARENTERAL feeding, *ENTERAL feeding, *MICRONUTRIENTS, *MEDICAL care |
| الملخص (بالإنجليزية): |
The response to severe burns is characterized by hypermetabolism (the most hypermetabolic existing model of aggression) and hype rcatabolism, with a high degree of destruction of the skeletal musculature. Meta- bolic disorders are most evident in the first two weeks after the burn, although they can be prolonged in direct relation to the complications that these patients develop. Nutritional-metabolic support is an essential part of the treatment of these patients and should be started early, preferentially through the enteral route, with parenteral nutrition as complementary support. Exact calculation of calorie-protein requirements in these patients is difficult, even when indirect calorimetry is used, due to the high loss of proteins and CO2 through the skin. Specific pharmaconutrients are indicated, with a high dose of micronutrients. The use of drugs or medications with anabolic effects is also sometimes indicated. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
La respuesta que se objetiva tras una agresión térmica grave se caracteriza por hipermetabolismo (es el modelo de agresión más hipermetabólica que existe) e hipercatabo- lismo, con una elevada destrucción de la musculatura esquelética. Los trastornos metabólicos son más evidentes en las 2 primeras semanas tras la quemadura, aunque pue- den prolongarse en relación directa con las complicaciones aparecidas. El soporte nutrometabólico forma parte indis- cutible del tratamiento de estos pacientes y debe ser precoz, utilizando preferentemente la via enteral y la nutrición parenteral complementaria. Es dificultoso el cálculo exacto de los requerimientos caloricoproteicos, aun empleando calorimetrIa indirecta, debido alas elevadas pérdidas cutá- neas de proteInas y CO2. Cabe destacar la indicación de farmaconutrientes especificos, de dosis elevadas de micro- nutrientes y, en algunas situaciones, del empleo de medica- ciones o fármacos con efectos anabólicos. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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