Zusammenfassung
Bei schweren Verbrennungen handelt es sich um verheerende traumatische Gewebsschädigungen. Der Zustandsverlauf wird vollkommen von einer komplexen und verlängerten Wiederbelebung beeinflusst, einschließlich einer für überleben und Rehabilitation notwendigen Intensivtherapie. Der Schweregrad der Verletzung und der Therapieerfolg hängen von drei Faktoren ab: dem Prozentsatz der verbrannten Körperoberfläche (TBSA, »total body surface area burned«), dem Vorliegen eines Inhalationstraumas und dem Patientenalter (Ryan et al. 1998). Anhand der von der Verbrennung betroffenen Körperoberfläche wird das Ausmaß der Brandverletzung klassifiziert als leicht bis mittelgradig (<20 % TBSA), schwer (20–60 % TBSA) und schwerst (>60 % TBSA).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Allard JP, Pichard C, Hoshino E, Stechison S, Fareholm L, Peters WJ and Jeejheebhoy KN (1990) »Validation of a new formula for calculating energy requirements of burn patients.« JPEN 14: 115–118
Barbosa E, Faintuch J, Machado Moreira EA, Goncalves da Silva VR, Lopes Pereima MJ, Martins Fagundes RL and Filho DW (2009) »Supplementation of vitamin E, vitamin C, and zinc attenuates oxidative stress in burned children: a randomized, double-blind, placebo-controlled pilot study.« J Burn Care Res 30(5): 859–866
Berger MM, Binnert C, Chiolero RL, Taylor W, Raffoul W, Cayeux MC, Benathan M, Shenkin A and Tappy L (2007) »Trace element supplements after major burns increase burned skin concentrations and modulate local protein metabolism, but not whole body substrate metabolism.« Am J Clin Nutr 85: 1301–1306
Berger MM and Shenkin A (2007) »Trace element requirements in critically ill burned patients.« J Trace Elem Med Biol 21 (suppl 1): 44–48
Coudray-Lucas C, LeBever H, Cynober L, DeBandt JP and Carsin H (2000) »Ornithine a-ketogluta-rate improves wound healing in severe burn patients: a prospective randomized doubleblind trial versus isonitrogenous controls.« Crit Care Med 28: 1772–1776
Garrel DR, Razi M, Lariviere F, Jobin N, Naman N, Emptoz-Bonneton A and Pugeat MM (1995) »Improved clinical status and length of care with low-fat nutrition support in burn patients.« JPEN 19: 482–491
Hart DW, Wolf SE, Herndon DN, Chinkes DL, Lal SO, Obeng MK, Beauford RB and Mlcak RP (2002) »Energy expenditure and caloric balance after burn: Increased feeding leads to fat rather than lean sass accretion.« Ann Surg 235(1): 152–161
Jeschke MG, Przkora R, Suman OE, Finnerty CC, Mlcak RP, Pereira CT, Sanford AP and Herndon DN (2007) »Sex differences in the long-term outcome after a severe thermal injury.« Shock 27(5): 461–465
Klein GL, Holick MF, Langman CB, Celis MM and Herndon DN (2004) »Synthesis of vitamin D in skin after burns.« Lancet 363: 291–292
Kurmis R, Parker A and Greenwood J (2010) »The use of immunonutrition in burn injury care: where are we?« J Burn Care Res 31(5): 677–691
Lam NN, Tien NG and Khoa CM (2008) »Early enteral feeding for burned patients: an effective method which should be encouraged in developing countries.« Burns 34(2): 192–196
Lee JO, Gauglitz GG, Herndon DN, Hawkins HK, Halder SC and Jeschke MG (2011). »Association between dietary fat content and outcomes in pediatric burn patients.« J Surg Res 166(1): e83-e90
Ryan CM, Schoenfeld DA, Thorpe WP, Sheridan RL, Cassem EH and Tompkins RG (1998) »Objective estimates of the probability of death from burn injuries.« New Engl J Med 338: 362–366
Stucki P, Perez MH, Cotting J, Shenkin A and Berger MM (2010) »Substitution of exudative trace elements losses in burned children.« Critical Care 14: 439
Tanaka H, Matsuda T, Miyagantani Y, Yukioka T, Matsuda H and Shimazaki S (2000) »Reduction of resuscitation fluid volumes in severely burned patients using ascorbic acid administration.« Arch Surg 135: 326–331
Williams FN, Jeschke MG, Chinkes DL, Suman OE, Branski LK and Herndon DN (2009) »Modulation of the hypermetabolic response to trauma: temperature, nutrition, and drugs.« J Am Coll Surg 208(4): 489–502
Wischmeyer PE (2007) »Glutamine: mode of action in critical illness.« Crit Care Med 35 (9 Suppl): 541–544
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Berger, M. (2013). Ernährungstherapie bei schweren Verbrennungen. In: Rümelin, A., Mayer, K. (eds) Ernährung des Intensivpatienten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29773-1_18
Download citation
DOI: https://doi.org/10.1007/978-3-642-29773-1_18
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-29772-4
Online ISBN: 978-3-642-29773-1
eBook Packages: Medicine (German Language)