Enteral hyperalimentation of burned patients: the possibility of correcting metabolic disorders by the early administration of prolonged high calorie evenly distributed tube feeds

Metabolic processes and the ways they may be treated were investigated in severely burned patients receiving prolonged high calorie evenly distributed tube feedings. It was shown that in critically ill patients the absorption of nutrients in the upper regions of the intestine was slightly impaired b...

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Veröffentlicht in:Burns 1992-06, Vol.18 (3), p.245-249
Hauptverfasser: Sologub, V.K., Zaets, T.L., Tarasov, A.V., Mordkovitch, M.R., Yu Yashin, A.
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container_end_page 249
container_issue 3
container_start_page 245
container_title Burns
container_volume 18
creator Sologub, V.K.
Zaets, T.L.
Tarasov, A.V.
Mordkovitch, M.R.
Yu Yashin, A.
description Metabolic processes and the ways they may be treated were investigated in severely burned patients receiving prolonged high calorie evenly distributed tube feedings. It was shown that in critically ill patients the absorption of nutrients in the upper regions of the intestine was slightly impaired but the ability to absorb was preserved, which made it possible to provide prolonged evenly distributed tube feeding. For these purposes we used the nutrient mixture ‘Combustal’. Restoration of nitrogen balance could be reached within about 10 days after starting tube feeding. However, the creatine excretion remained high, a manifestation of increased dystrophy of muscle tissue. Pseudocholinesterase activity in serum was also decreased, suggesting subnormal biosynthetic processes. To provide the full correction to normal of the metabolic processes the tube feeding with 'Combustal' should be given for at least a month.
doi_str_mv 10.1016/0305-4179(92)90080-E
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subjects Adolescent
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Burns - metabolism
Burns - therapy
Creatinine - pharmacokinetics
Energy Intake
Enteral Nutrition - methods
Humans
Intensive care medicine
Intestinal Absorption
Medical sciences
Middle Aged
Nutritional Status
Skin Transplantation
Water-Electrolyte Imbalance - metabolism
Xylose - pharmacokinetics
title Enteral hyperalimentation of burned patients: the possibility of correcting metabolic disorders by the early administration of prolonged high calorie evenly distributed tube feeds
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