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World Journal of Surgery

Erschienen in:

01.08.2008

Metabolic Implications of Severe Burn Injuries and Their Management: A Systematic Review of the Literature

verfasst von: Bishara S. Atiyeh, S. William A. Gunn, Saad A. Dibo

Erschienen in: World Journal of Surgery | Ausgabe 8/2008

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Abstract

Background

Severe burn patients are some of the most challenging critically ill patients, with an extreme state of physiologic stress and an overwhelming systemic metabolic response. A major component of severe burn injury is a hypermetabolic state associated with protein losses and a significant reduction of lean body mass. The second prominent component is hyperglycemia. Reversal of the hypermetabolic response by manipulating the patient’s physiologic and biochemical environment through the administration of specific nutrients, growth factors, or other agents, often in pharmacologic doses, is emerging as an essential component of the state of the art in severe burn management. The present review aims at summarizing the new treatment modalities established to reduce the catabolic burden of severe burn injuries, for which there is some evidence-based support.

Methods

A systematic review of the literature was conducted. Search tools included Elsevier ScienceDirect, EMBASE.com, Medline (OVID), MedlinePlus, and PubMed. Topics searched were Nutrition and Burns, Metabolic Response and Burns, Hypermetabolism and Burns, Hyperglycemia and Burns, and several more specific topics when indicated. With a focus on the most recently published articles, abstracts were reviewed and, when found relevant, were included as references. Full text articles, whenever available, were retrieved.

Results

Many issues remain unanswered. Unfortunately, the present state of our knowledge does not allow the formulation of clear-cut guidelines. Only general trends can be outlined, and these will certainly have some practical applications but above all will dictate future research in the field.

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Titel: Metabolic Implications of Severe Burn Injuries and Their Management: A Systematic Review of the Literature
verfasst von: Bishara S. Atiyeh
S. William A. Gunn
Saad A. Dibo
Publikationsdatum: 01.08.2008
Verlag: Springer-Verlag
Erschienen in: World Journal of Surgery / Ausgabe 8/2008
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-008-9587-8

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