Prelack K, Dylewski M, Sheridan RL, et al.
Burns : journal of the International Society for Burn Injuries. Date of publication 2007 Feb 1;volume 33(1):14-24.
1. Burns. 2007 Feb;33(1):14-24. Epub 2006 Nov 20.
Practical guidelines for nutritional management of burn injury and recovery.
Prelack K(1), Dylewski M, Sheridan RL.
Author information:
(1)Department of Clinical Nutrition, Shriners Hospital for Children, Boston, MA
02114, USA. kprelack@shrinenet.org
Comment in
Burns. 2008 Feb;34(1):141-3.
Nutrition practice in burn injury requires a multifaceted approach aimed at
providing metabolic support during a heightened inflammatory state, while
accommodating surgical and medical needs of the patient. Nutritional assessment
and determination of nutrient requirements is challenging, particularly given the
metabolic disarray that frequently accompanies inflammation. Nutritional therapy
requires careful decision making, regarding the safe use of enteral or parenteral
nutrition and the aggressiveness of nutrient delivery given the severity of the
patient's illness and response to treatment. With the discovery that specific
nutrients can actually alter the course of disease, the role of nutrition support
in critical illness has shifted from one of preventing malnutrition to one of
disease modulation. Today the use of glutamine, arginine, essential fatty acids,
and other nutritional factors for their effects on immunity and cell regulation
is becoming more common, although the evidence is often lagging. An exciting
dichotomy exits, forcing nutrition support specialists to make responsible
choices while remaining open to new potential helpful therapeutic options.
DOI: 10.1016/j.burns.2006.06.014
PMID: 17116370 [Indexed for MEDLINE]
