Abstract

GARCIA DE LORENZO Y MATEOS, A.; ORTIZ LEYBA, C.  and  SANCHEZ, S. M.. Guidelines for specialized nutritional and metabolic support in the critically-ill patient: Update. Consensus SEMICYUC-SENPE: Critically-ill burnt patient. Nutr. Hosp. [online]. 2011, vol.26, suppl.2, pp.59-62. ISSN 1699-5198.

The response to severe burns is characterized by hypermetabolism (the most hypermetabolic existing model of aggression) and hypercatabolism, with a high degree of destruction of the skeletal musculature. Metabolic 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.

Keywords : Critically-ill burnt patient; Hypovolemic shock; Complementary parenteral nutrition; Hyperproteic nutrition.

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