Sandra Wanek1, Steven E Wolf. 1. Burn Center, US Army Institute of Surgical Research, 3400 Rawley E. Chambers Avenue, Fort Sam Houston, TX 78234, USA.
Abstract
PURPOSE OF REVIEW: To provide a short review of the literature describing the hypermetabolic response to injury and potential treatments. Associated findings include changes in inflammatory mediators and secreted hormones. RECENT FINDINGS: Treatments should be aimed at decreasing the response and potentially the use of anabolic agents. Of note, recent interest in the hyperglycemic response to injury and insulin treatment will be highlighted. SUMMARY: The current metabolic care of the burned patient including nutrition is now being unfolded. It is relatively clear that anabolic treatment should be considered in all those with severe injury. Timing of the treatment, however, is still a topic of discussion.
PURPOSE OF REVIEW: To provide a short review of the literature describing the hypermetabolic response to injury and potential treatments. Associated findings include changes in inflammatory mediators and secreted hormones. RECENT FINDINGS: Treatments should be aimed at decreasing the response and potentially the use of anabolic agents. Of note, recent interest in the hyperglycemic response to injury and insulin treatment will be highlighted. SUMMARY: The current metabolic care of the burned patient including nutrition is now being unfolded. It is relatively clear that anabolic treatment should be considered in all those with severe injury. Timing of the treatment, however, is still a topic of discussion.
Authors: James E Mace; Myung S Park; Alejandra G Mora; Kevin K Chung; Wenjun Martini; Christopher E White; John B Holcomb; Gerald A Merrill; Michael A Dubick; Steven E Wolf; Charles E Wade; Martin G Schwacha Journal: Burns Date: 2011-11-21 Impact factor: 2.609
Authors: Kevin K Chung; Jonathan B Lundy; James R Matson; Evan M Renz; Christopher E White; Booker T King; David J Barillo; John A Jones; Leopoldo C Cancio; Lorne H Blackbourne; Steven E Wolf Journal: Crit Care Date: 2009-05-01 Impact factor: 9.097