Quemaduras, el metabolismo y los requerimientos nutricionales

• DOI: 10.3305/nh.2011.26.4.5217
• Publication Date: 2011-07-01
• Authors: Natasha Mendonça ...; Alfredo Gragnani; L. Masako Ferreira
• Keywords: Hypermetabolism; Resting energy expenditure; Energy requirement

Objectives: To review the nutritional evaluation in burned patient, considering literature descriptions of and energy requirements these patients. Introduction: Thermal injury is traumatic event with highest metabolic response critically ill Various mathematical formulas have been developed to estimate patient. Indirect Calorimetry only method considered gold standard for measuring caloric expenditure. Methods: A survey data was collected based on official bases, LILACS, EMBASE PubMed. Results: The changes involved hypermetabolism are designed supply support immune function, brain activity, wound healing, preservation body tissues. Body weight easiest indicator perhaps best assess status. most common utilized patients Curreri, Pennisi, Schofield, Ireton-Jones, Harris-Benedict ASPEN recommendations. For children Mayes World Health Organization formula. majority overestimate needs. regular use supplies adequate burn Discussion: traditional considers anthropometry, biochemical markers estimation requirements. provides a basis decisions that established clinical context. Classic parameters can be adapted intensive care environment. Conclusions: crucial ensure safety this should widely encouraged.