Carrillo-Esper R, Galindo-Mendoza L, Sánchez-Medina JR, Cabrera-Rayo A, Hernández-Aranda JC, Gutiérrez-Hernández A, Cabello-Aguilera R, Serralde-Zúñiga AE, Díaz-Pizarro GJI, Cervantes-Pérez E, Rivas-Soto M, Contreras-Santiago EM, Tapia-Salazar M, Chávez-Pérez CE, Rocha-Gutiérrez I, Baldwin-Monroy DD, Melgar-Bieberach RE, González-Martínez KI, Islas-Ávila RE, Santa-María OG, Hernández-Téllez G, Campa-Mendoza ÁN, García-López LR, Reyes-Torres CA, Carrillo-Córdova SM, Jacinto-Flores SA, Cedillo-Juárez J, Méndez-Romero YDC, Chávez-Robles ER, Román-Vistraín G, Aldrete-Velasco JA, Enriquez-Ramos MS, Camacho-Silva B

Language: Spanish
References: 167
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ABSTRACT

The patient with burns represents an important public health problem, where the presence of malnutrition is a frequent complication. There are different methods to assess nutritional status, including the use of calorimetry as the gold standard. Patients with burns enter a hypermetabolic state, in which the nutritional requirements available; however, these should be evaluated and managed according to calculations of the needs and the affected area, being different in the pediatric patient and in the adult. The use of the gastrointestinal tract from the early stages (including mediate postoperative) is essential to maintain good nutritional status, so the choice of the support route including parenteral feeding) is vital for the patient's prognosis. Various meta-analyzes have shown an increase in mortality when the caloric-protein deficit is maintained during the hospital stay, so the early installation and with mustidisciplinary evaluation of adequate nutritional therapy is decisive, since the caloric and protein deficit marks the evolution of these patients, even years after the event. The objectives of the therapeutic strategies include improving the evolution, the prognosis, as well as reducing the hospital stay and accelerating the healing process.

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