2011
DOI: 10.1097/bcr.0b013e318204b3be
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Early Enteral Nutrition in Burns: Compliance With Guidelines and Associated Outcomes in a Multicenter Study

Abstract: Early nutritional support is an essential component of burn care to prevent ileus, stress ulceration, and the effects of hypermetabolism. The American Burn Association practice guidelines state that enteral feedings should be initiated as soon as practical. The authors sought to evaluate compliance with early enteral nutrition (EN) guidelines, associated complications, and hospitalization outcomes in a prospective multicenter observational study. They conducted a retrospective review of mechanically ventilated… Show more

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Cited by 104 publications
(66 citation statements)
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References 22 publications
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“…Algunas series de pacientes críticos han reportado tasas de instauración precoz (< 48 h) de la NE entre el 50% y el 95%, aun cuando la monitorización reglada de este aspecto no constituía el objetivo de los distintos estudios (20,21). La tasa más elevada del 95% se observó en un grupo homogéneo de grandes quemados.…”
Section: Discussionunclassified
“…Algunas series de pacientes críticos han reportado tasas de instauración precoz (< 48 h) de la NE entre el 50% y el 95%, aun cuando la monitorización reglada de este aspecto no constituía el objetivo de los distintos estudios (20,21). La tasa más elevada del 95% se observó en un grupo homogéneo de grandes quemados.…”
Section: Discussionunclassified
“…The Canadian Clinical Practice Guidelines recommend starting EN within 24 to 48 hours after admission to the intensive care unit in critically ill patients [9]. Early enteral nutritional support in severe burns has demonstrated numerous advantages, such as increased caloric intake, insulin secretion and protein retention, improved bowel mucosal integrity, and decreased incidence of stress gastritis [10].…”
Section: Discussionmentioning
confidence: 99%
“…For example, it attenuates the hypermetabolic state, improves wound healing, decreases catabolism, and increases the chance of survival. 7,8,25,26 Since nutrition plays such a substantial role to burn patients, it is imperative that adequate formulas be utilized and daily monitoring of total intake, not just rate delivered hourly, be performed.…”
Section: Discussionmentioning
confidence: 99%