Skip to main content
SpringerLink
Log in
Book cover

Praxishandbuch klinische Ernährung und Infusionstherapie pp 477–483Cite as

Ernährung bei Verbrennungen

  • Chapter

  • 509 Accesses

Zusammenfassung

Das Verbrennungstrauma stellt eine Verletzung extremen Ausmaßes dar. Dies nicht nur hinsichtlich der pathophysiologischen Alterationen, sondern auch hinsichtlich der Lebensgefährdung des einzelnen Patienten und der Aufmerksamkeit bei Verletzung mehrerer Personen im Rahmen von Katastrophen.Viele unserer Kenntnisse zurTraumareaktion basieren auf Erfahrungen und klinischer Forschung beim Verbrennungstrauma. Entscheidende therapeutische Fortschritte, die auch anderen Patientengruppen zu Gute kommen, wurden in den vergangenen 30 Jahren erzielt. Darunter spielt die frühzeitig einsetzende, gezielte Ernährungstherapie eine zentrale Rolle, wie v. a. bei Säuglingen und Kleinkindern beispielhaft demonstriert werden konnte. Auch die Überlegenheit einer frühenteralen Substratzufuhr wurde in ihrer Bedeutung zunächst beispielhaft bei Verbrennungspatienten beobachtet, bevor sie bei Traumapatienten in Studien evaluiert wurde.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Arnold J, Campbell IT, Samuels TA (1993) Increased whole body protein breakdown predominates over increased whole body protein synthesis in multiple organ failure. Clin Sci (Colch) 84:655–661

    CAS  Google Scholar 

  2. Beale RJ, Bryg DJ, Bihari DJ (1999) Immunonutrition in the crtitically ill: a systemic review of clinical outcome. Crit Care Med 27:2799–805

    Article  PubMed  CAS  Google Scholar 

  3. Berghe van den G, de Zegher F, Veldhuis JD (1997) The somatotropic axis in critical illness: effect of continuous growth hormone (GH)-releasing hormone and GH-releasing peptide-2 infusion. J Clin Endorin Metab 82:590–599

    Article  Google Scholar 

  4. Biolo G,Toigo G, Ciocchi B et al. (1997) Metabolic response to injury and sepsis: changes in protein metabolism. Nutrition 13:52S–57S

    Google Scholar 

  5. Brown RO, Bradley JE, Bekemeyer WB et al. (1988) Effect of albumin supplementation during parenteral nutrition on hospital mortality. Crit Care Med 16:1177–1183

    Article  PubMed  CAS  Google Scholar 

  6. Byme TA, Morrissey TB, Gatzen C et al. (1993) Anabolic therapy with growth hormone accelerates protein gain in surgical patients requiring nutritional rehabilitation. Ann Surg 218:400–418

    Article  Google Scholar 

  7. Chiarelli A, Enzi G, Casadei A, Baggio B, Valerio A (1990) Very early nutrition supplementation in burned patients. Am J Clin Nutr 51:1035-1039

    PubMed  CAS  Google Scholar 

  8. Chiolero R, Revelly JP, Tappy L (1997) Energy metabolism in sepsis and injury. Nutrition 13:45S–51S

    Article  PubMed  Google Scholar 

  9. Gottschlich MM (1987) Acute thermal injury. In: Lang CE (ed) Nutritional support in critical care. Aspen Publ, Rockeville/MD, pp 159–181

    Google Scholar 

  10. Gilpin DA, Barrow RE, Rutan RL et al. (1994) Recombinant human growth hormone accelerates wound healing in children with large cutaneous burns. Ann Surg 220:19–24

    Article  PubMed  CAS  Google Scholar 

  11. Greenhalgh DG, Housinger TA, Kagan RJ et al. (1995) Maintenance of serum albumin levels in pediatric burn patients: a prospective, randomized trial. J Trauma 39:67–74

    Article  PubMed  CAS  Google Scholar 

  12. Herndon DN, Hawkins HK, Nguyen TT et al. (1995) Characterization of growth hormone enhanced donor site healing in patients with large cutaneous burns. Ann Surg 221:649–659

    Article  PubMed  CAS  Google Scholar 

  13. Herndon DN, Currerei PW (1978) Metabolic response to thermal injury and its nutritional support. Cutis 22:501–506

    CAS  Google Scholar 

  14. Herndon DN, Barrow RE, Stein M et al. (1989) Increased mortality with intravenous supplemented feeding in severely burned patients. J Burn Care Rehab 10:309–313

    Article  CAS  Google Scholar 

  15. Hildreth M (1996) Nutritional support of the burn patient. In: Herndon DN (ed) Total burn care. Saunders, Philadelphia, pp 237–245

    Google Scholar 

  16. Jeschke MG, Chrysopoulo MT, Herndon DN, Wolf SE (1999) Increased expression of insulin-like growth factor-l in serum and liver with recombinant human growth hormone treatment in thermally injured rats. J Surg Res 85:171–177

    Article  PubMed  CAS  Google Scholar 

  17. Jeschke MG, Barrow RE, Herndon DN (2000) Recombinant human Growth Hormone (rhGH) treatment in pediatric burn patients and its role during the acute phase response. Crit Care Med 28:1578–1584

    Article  PubMed  CAS  Google Scholar 

  18. Jiang Z, He GZ, Zhang SY et al. (1989) Low-dose growth hormone and hypocaloric nutrition attenuate the protein catabolic response after major operation. Ann Surg 210:513–525

    Article  PubMed  CAS  Google Scholar 

  19. Klein GL, Herndon DN, Langman CB (1995) Long term reduction in bone mass after severe burn injury in children. J Pediatrics 126:252–256

    Article  CAS  Google Scholar 

  20. Knox J, Demling R, Wilmore D et al. (1995) Increased survival after major thermal injury: the effect of growth hormone therapy in adults. J Trauma 39:526–532

    Article  PubMed  CAS  Google Scholar 

  21. Knox JB, Wilmore DW, Demling RH (1996) Use of growth hormone for postoperative respiratory failure. Am J Surg 171:576–580

    Article  PubMed  CAS  Google Scholar 

  22. Low JF, Herndon DN, Barrow RE (1999) Effect of growth hormone on growth delay in burned children: a 3-year follow-up study. Lancet 354:1789

    Article  PubMed  CAS  Google Scholar 

  23. Pierre E, Herndon DN, Barrow RE (1996) Growth hormone therapy in the treatment of burns. In: Torosian MH (ed) Growth hormone in critical illness: research and clinical studies. Landes, Austin/TX, pp 105–116

    Google Scholar 

  24. Pointing GA, Halliday D, Teale JD et al. (1988) Postoperative nitrogen balance with intravenous hyponutrition and growth hormone. Lancet 1:438–439

    Article  Google Scholar 

  25. Ramirez R, Wolf SE, Barrow RE, Herndon DN (1998) Growth hormone treatment in pediatric burns. A safe therapeutic approach. Ann Surg 238:439–448

    Article  Google Scholar 

  26. Rennie MJ (1985) Muscle protein turnover and wasting due to injury and disease. Br Med Bull 41:257–264

    PubMed  CAS  Google Scholar 

  27. Rutan RL, Herndon DN (1990) Growth delay in postburn pediatric patients. Arch Surg 125:392–395

    Article  PubMed  CAS  Google Scholar 

  28. Saffle JR, Wiebke G, Jennings K, Morris SE, Barton RG (1997) Randomized trial of immune enhancing enteral nutrition in burn patients. J Trauma 42:793–800

    Article  PubMed  CAS  Google Scholar 

  29. Saito H, Trocki O, Alexander JW, Joffe SN (1987) The effect of route of nutrient administration on the nutritional state, catabolic hormone secretion and gut mucosal integrity after burn injury. J Parenter Enteral Nutr 11:1–7

    Article  CAS  Google Scholar 

  30. Saito H, Trocki O, Joffe SN, Alexander JW (1987) Metabolic and immune effects of dietary arginine supplementation after burn. Arch Surg 122:784–789

    Article  PubMed  CAS  Google Scholar 

  31. Takagi K, Suzuki F, Barrow RE et al. (1997) Growth hormone improves immune function and survival in burned mice infected with herpes simplex virus type I. J Surg Res 69:166–170

    Article  PubMed  CAS  Google Scholar 

  32. Takagi K, Suzuki F, Barrow RE et al. (1998) Recombinant human growth hormone modulates Th-1 and Th-2 cytokine response in burned mice. Ann Surg 228:106–111

    Article  PubMed  CAS  Google Scholar 

  33. Takala L, Ruokonen E, Webster NR et al. (1999) Increase mortality associated with growth hormone treatment in critically ill patients. N Engl J Med 341:785–792

    Article  PubMed  CAS  Google Scholar 

  34. Timmins AC, Cotterill AM, Hughes SC (1996) Critical illness is associated with low circulating concentrations of insulin-like growth factors-I and -II, alterations in insulin like growth factors binding proteins, and induction of an insulin-like growth factor binding protein 3 protease. Crit Care Med 24:1460–1466

    Article  PubMed  CAS  Google Scholar 

  35. Wilmore D (1990) Hypermetabolic response to burn injury. J Trauma 30:S4–S6

    Article  PubMed  CAS  Google Scholar 

  36. Wolf SE, Jeschke MG, Desai MH et al. (1997) Enteral feeding intolerance as an early indicator of sepsis associated with mortality in massively burned children. Arch Surg 132:1310–1314

    Article  PubMed  CAS  Google Scholar 

  37. Wolf SE, Herndon DN (1999) Burn care. Landes Bioscience, Austin/TX, pp 66–71

    Google Scholar 

Download references

Authors
  1. M. G. Jeschke
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K.-W. Jauch
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Medizinische Klinik II, Zentrum der Inneren Medizin Gastroenterologie/Klinische Ernährung, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland

    J. Stein

  2. Chirurgische Klinik mit Poliklinik der LMU München-Großhadern, Marchioninistraße 15, 81377, München, Deutschland

    K.-W. Jauch

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Jeschke, M.G., Jauch, KW. (2003). Ernährung bei Verbrennungen. In: Stein, J., Jauch, KW. (eds) Praxishandbuch klinische Ernährung und Infusionstherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55896-2_34

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-55896-2_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62625-8

  • Online ISBN: 978-3-642-55896-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation