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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | ACTA CHIRURGIAE PLASTICAE 46, 2, 2004, pp. 39 - 40 |
NUTRITION IN PATIENTS WITH BURN INJURIES
IN THE INTENSIVE CARE UNIT Kripner J., Brož L., Königová R. Burn Centre, 3rd Medical Faculty, Charles University and Faculty Hospital Kr lovsk V inohrady, Prague, Czech Republic |
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Summary: Authors discuss the choices of nutritional support in patient after severe burn injury during the last three decades.
Severe burn injury presents one of the most critical states of starvation under a severe stress to the organism.
Timely and appropriate metabolic intervention can positively influence the hypermetabolism, which is a common
reaction after an injury. Burn injury causes a long-term reaction with a great risk of multiple organ dysfunction (requirement
to perform repeated dressing changes under general anesthesia, repeated surgeries, and infections).
Incorporation of a nutritional support is based on the knowledge of pathophysiology and metabolic response to
injury, and is influenced by choice of nutrition substrates and by possibility of its administration.
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