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2013, Number 4

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Revista Cubana de Cirugía 2013; 52 (4)

Basic aspects of the enteral nutrition in the burned patient

Collado HCM, Pérez NV

Language: Spanish
References: 35
Page: 332-341
PDF size: 781.42 Kb.


ABSTRACT

The nutritional treatment is an important element in the combined therapy of lesions from severe burns, thus allowing a control of catabolism in the patient, Hypermetabolism in burned patients encourages the increase of caloric protein requirements, the influence of early starting of nutrition supports the hemodynamic stability. The objective of this review was to describe the essential and present aspects of the enteral nutrition in the widely burned patient such as routes of administration, importance of application, main formulae for the energetic and protein calculations, treatment with macronutrients and micronutrients to guarantee adequate nutrition according to the requirements. Enteral nutrition continues being the most important and safest route of administration in the widely burned patient for giving him macronutrients and micronutrients that are necessary in the metabolic processes to assure cicatrization and healing.


REFERENCES

  1. Borges Muñío H, García Ramos R. Manual de procedimientos de diagnóstico y tratamiento en CaumatologÍa Cirugía Plástica. T-I. La Habana: Pueblo y Educación; 1984.

  2. Elsherbiny OE, Salem MA, El-Sabbagh AH, Elhadidy MR, Eldeen SM. Quality of life of adult patients with severe burns. Burns. 2011; 37(5):776-89.

  3. Spodaryk M, Pucha J. Nutritional interventions in severe burns in children. Therapeutic results. Annals of Burns and Fire Disasters. [revista en la Internet]. 2007 [citado 2013 Mar 9]; 20(1): 25-28. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3188042 /pdf/Ann-Burns-and-Fire- Disasters-20-25.pdf .

  4. Rodríguez NA, Jeschke MG, Williams FN, Kamolz LP, Herndon DN. Nutrition in burns Galveston contributions. JPEN J. Parenter. Enteral Nutr. 2011, 35, 704714.

  5. Hall KL, Shahrokhi SH, Jeschke MG. Enteral Nutrition Support in Burn Care: A Review of Current Recommendations as Instituted in the Ross Tilley Burn Centre. Nutrients. [revista en la Internet]. 2012 [citado 2013 Mar 9]; 4(11): 1554-1565. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3509506/pdf/ nutrients-04-01554.pdf.

  6. Robert H. Demling. Nutrition, Anabolism, and the Wound Healing Process: An Overview. Eplasty. [revista en la Internet]. 2009 [citado 2013 Mar 9]; 9(e9): 65- 94. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2642618/pdf/ eplasty09e09.pdf.

  7. Freitas Serra MC, De Luca Sacramento A, Monteiro da Costa L, Brito Ramos P, Guimarães Junior LM. Terapia nutricional no paciente queimado. Rev Bras Queimaduras. 2011;10(3):93-5.

  8. Abdel-lah Mohamed A, Abdel-lah Fernández O, Pina Arroyo J. Tipos de soporte nutricional en cirugía. Nutrición enteral. En: Abdel-lah Mohamed A, Álvarez Hernández J. Guía de actuación: Soporte nutricional en el paciente quirúrgico. Editorial Glosa, S.L. Barcelona. 2009: 47-64.

  9. Pedrón Giner C, Martínez-Costa C, Navas-López VM, Gómez-López L, Redecillas- Ferrero S, Moreno-Villares JM, et al. Documento de consenso SENPE/SEGHNP/ANECIPN/SECP sobre vías de acceso en nutrición enteral pediátrica. Nutr. Hosp. [revista en la Internet]. 2011 [citado 2013 Mar 13]; 26(1). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212- 16112011000100001&lang=pt .

  10. Hernández Pedroso W, Chávez Rodríguez E. Nutrición enteral precóz en el paciente con lesiones complejas. Rev Cub Aliment Nutr. [revista en la Internet]. 2008 [citado 2013 Mar 14]; 18(2): 265-276. Disponible en: http://www.revicubalimentanut.sld.cu/Vol_18_2 /Art_18_2_8_265_276.pdf.

  11. Torres Amaro A, Jiménez García R, Santana Porbén S. El soporte nutrimental y su relación con algunos indicadores pronósticos del niño quemado. Rev Cubana Pediatr. [revista en la Internet]. 2011 [citado 2013 Mar 18]; 83(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312011000400002.

  12. Alves Silva AP, Jardini de Freitas B, Ceragioli Oliveira FL, Fraga Piovacari SM, José de Nóbrega F. Terapia nutricional em queimaduras: uma revisão. Rev Bras Queimaduras. 2012;11(3):135-41.

  13. Atiyeh BS, Gunn SWA, Dibo SA. Nutritional and Pharmacological Modulation of the Metabolic Response of Severely Burned Patients: Review of the Literature (Part 1). Ann Burns Fire Disasters. [revista en la Internet]. 2008 [citado 2013 Mar 14]; 21(2): 6372. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3188151/pdf/Ann-Burns-and-Fire- Disasters -21-63.pdf.

  14. Guozhong L, Jiren H, Junjie Y, Yugang Z, Liangliang C, Zaiqiu G, et al. Influence of early postburn enteral nutrition on clinical outcomes of patients with extensive burns. J. Clin. Biochem. Nutr. 2011; (48)3:222 225.

  15. Curreri PW, Richmond D, Marvin J, Baxter CR. Dietary requirements of patients with major burns. J Am Diet Assoc. 1974; 65(4):415-7.

  16. Davies JWL, Liljedahl SL. Metabolic consequences of an extensive burn. In: Polk HH, Stone HC, eds. Boston: Contemporary Burn Management, Little Brown & Co; 1971. p.151-69.

  17. Harris JA, Benedict FG. Biometric studies basal metabolism in man. Washington:Carnegie Institute of Washington;1919.

  18. Long C. Energy expenditure of major burns. J Trauma 1979; 19(11 Suppl): 904-6.

  19. Alexander JW, MacMillan BG, Stinnett JD, Ogle CK, Bozian RC, Fischer JE, et al. Beneficial effects of aggressive protein feeding in severely burned children. Ann Surg. 1980; 192(4):505-17.

  20. Pennisi VM. Monitoring the nutritional care of burned patients. J Am Diet Assoc. 1976; 69(5):531-3.

  21. De los Santos CE. Guía Básica para el tratamiento del paciente quemado. Santo Domingo: Editora Alfa y Omega; 2001:58.

  22. Chan MM, Chan GM. Nutritional therapy for burns in children and adults. Nutrition. 2009; 25(3):261-9.

  23. Muñoz García M, Pérez Menéndez-Conde C, Bermejo Vicedo T. Avances en el conocimiento del uso de micronutrientes en nutrición artificial. Nutr Hosp. [revista en la Internet]. 2011 [citado 2013 Ene 11]; 26(1):37-47. Disponible en: http://scielo.isciii.es/pdf/nh/v26n1/revision_1.pdf

  24. Sriram K, Lonchyna VA. Micronutrient supplementation in adult nutrition therapy: practical considerations. JPEN J Parenter Enteral Nutr 2009; 33 (5): 548-62.

  25. Graves C, Saffle J, Cochran A. Actual burn nutrition care prac-tices: an update. J Burn Care Res 2009; 30 (1): 77-82.

  26. Masters B, Wood F. Nutrition support in burns-is there consis-tency in practice? J Burn Care Res 2008; 29 (4): 561-71.

  27. Alfonso Orta I, Alonso Carbonell L, Alonso Galbán P, Calvo Barbado DM, Cruz Barrios MA, Delgado Martínez I. Guía terapéutica cubana. 3ra ed. La Habana: Editorial Ciencias Médicas. 2011.

  28. Bottoni A, Bottoni A, Rodrigues RC, Celano RMG. Papel da nutrição na cicatrização. Rev Ciências Saúde. 2011;1(1):98-103.

  29. Barbosa E, Faintuch J, Machado Moreira EA, Gonçalves da Silva VR, Lopes Pereima MJ, Martins Fagundes RL, Filho DW. Supplementation of vitamin E, vitamin C, and zinc atten-uates oxidative estrés in burned children: a randomized, dou-bleblind, placebo-controlled pilot study. J Burn Care Res. 2009; 30 (5): 859-66.

  30. Prins A. Nutritional management of the burn patient. South Afr J Clin Nutr. 2009;22(1):9-15.

  31. Catania AS, Barros CR, Ferreira SRG. Vitaminas e minerais com propiedades antioxidantes e risco cardiometabólico controvérsias e perspectivas. Arq Bras Endocrinol Metab. 2009;53(5):550-9.

  32. Kurmis R, Parker A, Greenwood J. The use of immunonutrition in burn injury care: where are we? J Burn Care Res. 2010;31(5):677-91.

  33. Freitas Serra MC, De Lucas Sacramento A, Monteiro da Costa L, Brito Ramos P, Guimaraes Junior LM. Terapia nutricional no paciente queimado. Rev Bras Queimaduras. 2011; 10(3): 93-5.

  34. Blass SC, Goost H, Tolba RH, Stoffel-Wagner B, Kabir K, Burger C, et al. Time to wound closure in trauma patients with disorders in wound healing is shortened by supplements containing antioxidant micronutrients and glutamine: a PRCT. Clin Nutr. 2012;31(4):469-75.

  35. Uscategui Cristancho H. Inmunonutrición: Enfoque en el paciente quirúrgico. Rev. Chilena de Cirugía. [revista en la Internet]. 2010 [citado 2013 Mar 9]; 62(2):87-92. Disponible en:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262010000100017.




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