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Ernährungstherapie bei Brandverletzten

  • Chapter
Verbrennungen

Zusammenfassung

Schwere Brandverletzungen führen zu einer katabolen Stoffwechselsituation, die mit einem massiven Muskelabbau und Proteinverlust einhergeht. Ursächlich für die Veränderung der Stoffwechsellage ist eine ausgeprägte hypermetabolische Reaktion, die zu einem erhöhten Energieverbrauch von bis zu 100% über dem Normalwert führt. Vor Einführung einer routinemäßig durchgeführten enteralen oder parenteralen Ernährung verloren schwer brandverletzte Patienten innerhalb weniger Wochen 15–20% ihrer fettfreien Körpermasse (Lean Body Mass). Dies trug wesentlich zur hohen Sterblichkeitsrate bei. [1,2] Während der Intensivbehandlung resultieren eine suboptimale Ernährung in Bezug auf Kalorien- und Proteinbedarf in einer verlangsamten Wundheilung, einer beschleunigten Katabolie, in Organfehlfunktionen und einer verzögerten Genesung sowie erhöhten Morbidität und Mortalität.

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Authors
  1. Ahmed Al-Mousawi
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  2. Ludwik K. Branski
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  3. Harald L. Andel
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  4. Marc G. Jeschke
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  5. David N. Herndon
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Editor information

Editors and Affiliations

  1. Universitätsklinik für Chirurgie, Wien, Austria

    Lars-Peter Kamolz

  2. Shriners Hospital for Children, Galveston, TX, USA

    David N. Herndon  & Marc G. Jeschke  & 

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Al-Mousawi, A., Branski, L.K., Andel, H.L., Jeschke, M.G., Herndon, D.N. (2009). Ernährungstherapie bei Brandverletzten. In: Kamolz, LP., Herndon, D.N., Jeschke, M.G. (eds) Verbrennungen. Springer, Vienna. https://doi.org/10.1007/978-3-211-79896-6_16

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  • DOI: https://doi.org/10.1007/978-3-211-79896-6_16

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-79895-9

  • Online ISBN: 978-3-211-79896-6

  • eBook Packages: Medicine (German Language)

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