Document Detail


Calorie and protein provision for recovery from severe burns in infants and young children.
MedLine Citation:
PMID:  2108578     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Severely burned adults increase their metabolic energy expenditure (MEE) to levels approaching twice the normal resting metabolic rate (RMR). There are no available measurements of MEE for severely burned infants and toddlers, however, and nutritional support relies on published estimates of MEE that range from 200% to 400% of RMR. We determined the actual calories provided to 10 infants and children ages 3-33 mo during acute care for severe burns (59 +/- 5% total-body-surface burn). Our standard protocol emphasizes the delivery of amino acids at 3 g.kg-1.d-1 in conjunction with prompt excision and grafting. An anabolic state characterized by weight maintenance and healing was supported with far fewer calories than predicted by four published formulas for MEE. We conclude that when greater than 2.5 g.kg-1.d-1 protein is provided, efficient protein utilization for recovery is achieved with calorie provision at 120-200% RMR in severely burned infants and toddlers.
Authors:
J J Cunningham; M K Lydon; W E Russell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of clinical nutrition     Volume:  51     ISSN:  0002-9165     ISO Abbreviation:  Am. J. Clin. Nutr.     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-05-03     Completed Date:  1990-05-03     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0376027     Medline TA:  Am J Clin Nutr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  553-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Shriners Burns Institute, Boston, MA 02114.
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MeSH Terms
Descriptor/Qualifier:
Burn Units / methods
Burns / diet therapy*
Child, Preschool
Dietary Proteins / administration & dosage*
Energy Intake*
Energy Metabolism
Female
Humans
Infant
Infant Nutritional Physiological Phenomena
Intensive Care Units, Pediatric
Male
Nitrogen / metabolism
Parenteral Nutrition, Total
Prognosis
Chemical
Reg. No./Substance:
0/Dietary Proteins; 7727-37-9/Nitrogen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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