Conferencia. Soporte nutricional en el niño quemado

  • Esperanza Ossa B

Resumen

Las quemaduras inducen grandes cambios en el metabolismo, en el sistema endocrino e inmune. Las demandas energéticas y proteicas aumentan y hay mayor tendencia a la infección y la desnutrición. Adicionalmente hay deterioro de la motilidad intestinal e imbalance hormonal que puede también inducir deficiencias nutricionales. Sin embargo, el tratamiento puede modificar la respuesta metabólica, y es así como estudios recientes han mostrado que un tratamiento agresivo temprano en niños con quemaduras mayores del 40% de la superficie corSoporte nutricional en el niño quemado poral, si bien no disminuye el gasto energético, si atenúa marcadamente el catabolismo proteico comparado con un inicio tardío en el manejo (1)...

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Hart DW, Woll SE, Chinkes DL, et al. Effects 01 early excision and aggressive enteral leeding on hypermetabolism, catabolism and sepsis alter severe burn. J Trauma 2003;54:755-64.

Klein GL, Nicolai M, Langman CB, Cuneo BF, Sailor DE, Herndon DN, Dysregulation 01 calcium homeostasis alter severe burn injury in children possible role 01 magnesium depletion. J Pediatr 1997;131:246-51.

Aili Low JF, Barrow RE, Mittendorfer B, Jeschke MG, Chinkes DL, Herndon DN. The effect 01 short-term growth hormone treatment on growth and energy expenditure in burned children. Burns 2001 ;27:447-52.

Wolle RR. Durkot MJ. Allsop JR et al: Glucose metabolism in severly burned patients. Metabolism 1979;28:1031-1039.

Abbott WC.,Schiller WR,Long CL et al: The effect 01 major thermal injury on plasma ketone body levels. J. Parenter Enteral Nutr 1.985;9:153-158.

Drost AC.,Burleson DG., Coffi WG et al: Plasma cytokines alter thermal injury and their relation ship to inlection. Ann Surg 1.993;218:74-78.

Alexander JW, MacMillan BG, Stinnett JD et al: Benelicial effects 01 aggressive protein feeding in severely burned children. Ann Surg 1.980; 192:505-517.

Schreiber, G., Howlett, G. Synthesis and secretion if acute phase proteins. In: plasma protein secrtion by the liver. H Glaumann, 1Peter, Jr. and C. Redman (eds) Academic Press, London and New York, 1983, pp 423-449.

Young AE. The management of severe burns in children. Current Paediatrics 2004;14:202- 207

Hildreth MA, Herndon DN, Desai MH, Broemeling LD. Current treatment reduce calories required to maintain weight in pediatric patients with burns. J Burn Care Rehabil. 1990;11 :405-09.

Mayes l,Gottschlich M.M. Khoury J. Warden GD. Evaluation of predicted and measured energy requeriments in burned children.Journal of the American Dietetic association. 96(1 ):24- 91.996 Jan.

Deith Edwin A. Nutritional support of the burn patient. Critical Care Clinics. Vol.11(3) July 1.995 New Jersey.

Mayes 1Gottschlich MM Warden GD.,Clinical nutrition protocols for continuos quality improvements in the outcomes of patients with burns. J. of burn care & Rehabilitation. 18(4):365- 8; discussion 364, 1.997 Jul-Aug. Cincinnati U.SA

Voruganti VS, Klein GL, Lu HX, Thomas S, et al. Impaired zinc and copper status in children with burn injuries: Need to reassess nutritional requirements. J Burns 2109 April 2005.

Abrams SA. Calcium turnover and nutrition through the life cycle. Proc Nutr Soc 2001 ;60:283-9 .

Lowe NM, Fraser WD, Jackson MJ,.ls there a potential therapeutic value for copper and zinc for osteoporosis? Proe Nut Soc 2002;61 :181-5.

MM Gottschlich, ME Jenkins, T Mayes, J Khoury, RJ Kagan, and GD Warden. The 2002 Clinical Research Award. An evaluation of the safety of early vs delayed enteral support and effects on clinical, nutritional, and endocrine outcomes after severe burns. J Burn Care Rehabil, November 1, 2002; 23(6): 401-15.

Pereira J.L. Górnez.Cía T. Y cols. Decrese of the incidence of sepsis syndrome after early enteral nutrition of patients with severe burns. Unidad de nutrición clinica y dietética. Hospital universitario Virgen del Rocio, España. 11(5):274-81.996.

Engelhardt-VJ; Clark-SM. J. Burn-Care-RehabiI.1.994 May-Jun,15(3):293-7.

Atkinson S, Sieffert E, Bihari D, et al. A prospective, randomized, double- blind, controlled clinical trial of enteral inmunonutrition in the critically ill. Crit Care med 1998;26:1164-72. -~. .,

Jeschke MG, Barrow RE, Herndon DN. Insulinlike growth factor I plus insulinlike growth factor binding protein attenuates the proinflammatory acute phase response in severely burned children. Ann Surg 2000;231 :246-52.

Hart DW, Wolf SE, Ramzy PI et al. Anabolic effects of oxandrolone after severe burns. Ann Surg 2001 ;233:556-64.

Publicado
2019-04-01
Cómo citar
Ossa B, E. (2019). Conferencia. Soporte nutricional en el niño quemado. Perspectivas En Nutrición Humana, 37-45. Recuperado a partir de https://revistas.udea.edu.co/index.php/nutricion/article/view/338061
Sección
Artículos de Investigación