Update on Hypermetabolism in Pediatric Burn Patients.

Autor: Layon SA; Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.; Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas., Williams AD; Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.; Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas., Parham MJ; Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.; Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas., Lee JO; Division of Burn, Trauma & Acute Care Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.; Department of Surgery, Shriners Children's Texas, Galveston, Texas.
Jazyk: angličtina
Zdroj: Seminars in plastic surgery [Semin Plast Surg] 2024 Apr 04; Vol. 38 (2), pp. 133-144. Date of Electronic Publication: 2024 Apr 04 (Print Publication: 2024).
DOI: 10.1055/s-0044-1782649
Abstrakt: Despite advancements in pediatric burn care, the profound hypermetabolic response associated with severe burns remains a multifaceted challenge throughout the continuum of care. Understanding the various physiologic disturbances that constitute hypermetabolism is crucial for a thorough evaluation and for implementing appropriate surgical and nonsurgical interventions. In this article, we describe the pathophysiology and treatment of hypermetabolism in pediatric burn patients with a focus on reducing resting energy requirements, minimizing infection, and optimizing nutrition for patients undergoing frequent surgical intervention.
Competing Interests: Conflict of Interest None declared.
(Thieme. All rights reserved.)
Databáze: MEDLINE