ICU SAQs · Burns
Burn hypermetabolism — the nutritional and the pharmacological management
A CICM Second-Part SAQ on the burn hypermetabolism — the early enteral, the high protein, the trace elements, the propranolol, the oxandrolone.
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Prompt
A patient with a 50 per cent TBSA burn on day 3 has a metabolic rate double the baseline, persistent hyperglycaemia despite an insulin infusion, and is losing significant muscle mass. Outline the nutritional and the pharmacological management.
Question
A patient with a 50 per cent TBSA burn on day 3 has a metabolic rate double the baseline, persistent hyperglycaemia despite an insulin infusion, and is losing significant muscle mass. Outline the nutritional and the pharmacological management.
[5]References4ShowHide
- [1]Mrazek AA, Simpson P, Lee JO Nutrition in Pediatric Burns. Seminars in Plastic Surgery, 2024.PMID 38746694
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [4]Yang X, Li R, Zhai J Effects of early enteral nutrition in patients with severe burns: A systematic review Medicine (Baltimore), 2024.PMID 38363893
- [5]Jeschke MG, et al. Intensive insulin therapy in severely burned pediatric patients: a prospective randomized trial Am J Respir Crit Care Med, 2010.PMID 20395554