Nutritional Therapy Based on Positive Caloric Balance in Burn Patients

Bartlett, Robert H.; Allyn, Patricia A.; Medley, Tamar; Wetmore, Nancy

doi:10.1001/archsurg.1977.01370080072012

Cited by 39 publications

(4 citation statements)

References 11 publications

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“…The remaining patient passed away due to severe sepsis. Nutrition is well documented to be a key component in facilitating successful rehabilitation of the burns patient [10,21,22]. In addition, research into burns and TEN has demonstrated that early enteral, but not parenteral, feeding reduces mortality [4,10].…”

Section: Discussionmentioning

confidence: 99%

Management of Dysphagia in Toxic Epidermal Necrolysis (TEN) and Stevens-Johnson Syndrome (SJS)

Clayton

2007

Dysphagia

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Toxic epidermal necrolysis (TEN) is a rare and potentially fatal skin disorder, precipitated by severe allergic drug reaction, and is one of a spectrum of conditions, which includes Stevens-Johnson syndrome (SJS). Mucosal involvement is common, resulting in extreme pain on swallowing and poor oral intake. The aim of this study was to describe swallow function in TEN and SJS and define the role of Speech Pathology in management. The Burns Unit database was reviewed for patients that presented over a five-year period with TEN and SJS. Diagnosis of TEN and SJS was confirmed by skin biopsy. Information specific to swallow function, treatment approaches, and adequacy of oral intake was collected. Fourteen patients' medical records were studied: eight TEN, two TEN/SJS spectrum, and four SJS. The majority had mucosal involvement causing odynophagia, poor oral intake, an ability to tolerate fluids more easily than solids, and increased aspiration risk. These symptoms were confirmed by Speech Pathology swallowing assessment. Severe mucosal involvement resulting in odynophagia, dysphagia, and poor oral intake is common in TEN and SJS. The speech pathologist is able to assess swallow function and provide recommendations to promote safe oral intake, minimize odynophagia, and facilitate nutritional input critical to optimizing recovery.

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Section: Discussionmentioning

confidence: 99%

Management of Dysphagia in Toxic Epidermal Necrolysis (TEN) and Stevens-Johnson Syndrome (SJS)

Clayton

2007

Dysphagia

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“…51,52 Patients in our study were kept at a mean ambient temperature of 23.3°C, which was similar to ambient temperatures reported by others. 39,47 Because the majority of the patients (n = 20, or 83% of the population) had 20% to 50% BSAB and their wounds were covered, it is unlikely that ambient temperature had a profound confounding effect on our measurements.…”

mentioning

confidence: 99%

Accuracy of predictive methods to estimate resting energy expenditure of thermally‐injured patients

Dickerson

Gervasio

Riley

et al. 2002

J Parenter Enteral Nutr

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“…The ratio of solubilities of nitrogen and nitrous oxide in the human body is 1:30. The nitrous oxide uptake value includes nitrogen excretion, which may be assumed to be 1/30 of the nitrous oxide uptake [3]. Thus our value for nitrous oxide uptake is underestimated by slightly more than 3%.…”

Section: Discussionmentioning

confidence: 90%

“…Measurements of oxygen consumption and carbon dioxide excretion have been used in intensive care units during recent years [1][2][3]. However, corresponding studies during anaesthesia have been impeded by the fact that uptake of nitrous oxide invalidates the calculations of inspired or expired minute ventilation from the other, assuming no net exchange of inert gas (nitrogen) which is necessary when only one minute ventilation is measured ( VE = Vi-Fi Ni /FE St , Haldane transformation) [4].…”

mentioning

confidence: 99%

Metabolic Gas Exchange During Nitrous Oxide Anaesthesia With Controlled Ventilation

Svensson

Henriksson

Sonander

et al. 1990

British Journal of Anaesthesia

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A system for metabolic gas exchange has been used during nitrous oxide-opioid anaesthesia incorporating a Servo Ventilator 900 C and external analysers for oxygen and carbon dioxide. Oxygen consumption and carbon dioxide excretion were calculated as differences in content between inspired and expired minute ventilation. Nitrous oxide uptake was calculated similarly, assuming it was the only other gas present in addition to oxygen and carbon dioxide. The mean value for oxygen consumption was 3.25 ml kg-1 min-1, declining by 8% during the 2 h of anaesthesia. The formula for the best fit curve of nitrous oxide uptake was 18.3 . t-0.48 ml kg-1 min-1 when FIN2O was 0.7. To simplify measurement procedures and avoid measurements of expiratory volume, we also calculated metabolic gas exchange when expiratory minute ventilation was expressed as a function of inspiratory minute volume and nitrous oxide uptake. The latter value was obtained from the overall best fit curve for nitrous oxide uptake.

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Nutritional Therapy Based on Positive Caloric Balance in Burn Patients

Cited by 39 publications

References 11 publications

Management of Dysphagia in Toxic Epidermal Necrolysis (TEN) and Stevens-Johnson Syndrome (SJS)

Management of Dysphagia in Toxic Epidermal Necrolysis (TEN) and Stevens-Johnson Syndrome (SJS)

Accuracy of predictive methods to estimate resting energy expenditure of thermally‐injured patients

Metabolic Gas Exchange During Nitrous Oxide Anaesthesia With Controlled Ventilation

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