NUTRITIONAL REQUIREMENTS OF BURN PATIENTS: CURRENT RECOMMENDATIONS
Year 2021,
Volume: 6 Issue: 3, 249 - 258, 31.12.2021
Sabri Karahan
,
Rana Elçin Sezer
,
Mesude Ünsaldi
Abstract
Non-fatal burn wounds are among the leading causes of morbidity in the world. Major burns cause profound metabolic changes with a stress response in the body. In order to create an adequate response to these changes in the burn patient, some specific nutritional planning specific to the burn is needed. A good nutrition plan increases anabolic metabolism, accelerates wound healing and shortens the hospital stay of the burn patient. For an effective nutrition plan, current guidelines in the field should be followed. In this article, recommendations of current guidelines on feeding burn patients were compiled.
References
- Ahuja, R. B., Gibran, N., Greenhalgh, D., Jeng, J., Mackie, D., Moghazy, A., Moiemen, N., Palmieri, T., Peck, M. & Serghiou, M. 2016. ISBI practice guidelines for burn care. Burns, 42, 953-1021.
- Association, A. B. 2016. Burn incidence and treatment in the United States [Online]. ABA. Available: http://www.ameriburn.org/resources_factsheet.php [Accessed 2020].
- Aydogan, C. & Ekici, Y. 2012. Yanik Hastalarinda Beslenme/Nutrition Support in Burn Patients. Türk Yogun Bakim Dergisi, 10, 74.
- Bakalnliği, S. 2019. Yanık Tedavi Algoritması [Online]. Available: https://khgmsaglikhizmetleridb.saglik.gov.tr/TR-42844/yanik-tedavi-algoritmasi.html [Accessed 2020].
- Barbosa, E., Faintuch, J., Machado Moreira, E. A., Gonçalves Da Silva, V. R., Lopes Pereima, M. J., Martins Fagundes, R. L. & Filho, D. W. 2009. Supplementation of vitamin E, vitamin C, and zinc attenuates oxidative stress in burned children: a randomized, double-blind, placebo-controlled pilot study. Journal of burn care & research, 30, 859-866.
- Bauer, J., Capra, S. & Ferguson, M. 2002. Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. European journal of clinical nutrition, 56, 779-785.
- Beerthuizen, G. & Magnette, A. 2013. European practice guidelines for burn care. Vienna.
- Boeykens, K. & Van Hecke, A. 2018. Advanced practice nursing: Nutrition Nurse Specialist role and function. Clinical nutrition ESPEN, 26, 72-76.
- Brownson, E. G. & Gibran, N. S. 2018. Evaluation of the Burn Wound: Management Decisions. In: HERNDON, D. N. (ed.) Total Burn Care. 5 ed.: Elsevier.
- Christina, R., Franziska, H. & Michael, W. N. 2017. Clinician’s guide to nutritional therapy following major burn injury. Burn Care: Rescue, Resuscitation, and Resurfacing, An Issue of Clinics in Plastic Surgery, E-Book, 44, 555.
- Clark, A., Imran, J., Madni, T. & Wolf, S. E. 2017. Nutrition and metabolism in burn patients. Burns & trauma, 5.
- Dimaria-Ghalili, R. A., Gilbert, K., Lord, L., Neal, T., Richardson, D., Tyler, R., Guenter, P. & Aspen, N. S. R. T. F. 2016. Standards of Nutrition Care Practice and Professional Performance for Nutrition Support and Generalist Nurses. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition, 31, 527.
- Durmuş, M., Muhsiroğlu, Ö., Yapici, A. K., Bayram, Y. & Eski, M. 2016. Yanıkta Tıbbi Beslenme Tedavisi. Turkish Journal of Plastic Surgery, 24.
- Elia, M., Russell, C., Stratton, R., Todorovic, V., Evans, L. & Farrer, K. 2011. The MUST explanatory booklet. A guide to the Malnutrition Universal Screening Tool (MUST) for adults. London: BAPEN.
- Grammatikopoulou, M. G., Theodoridis, X., Gkiouras, K., Stamouli, E. M., Mavrantoni, M. E., Dardavessis, T. & Bogdanos, D. P. 2019. AGREEing on guidelines for nutrition management of adult severe burn patients. Journal of Parenteral and Enteral Nutrition, 43, 490-496.
- Greenfield, E. 2010. The pivotal role of nursing personnel in burn care. Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India, 43, S94.
- Hartford, C. E. & Kealey, G. P. 2007. Care of outpatient burns. Total burn care, 3, 67-80.
- Hartford, C. E. & Kealey, G. P. 2012. Care of outpatient burns. Total Burn Care. 4th ed. Philadelphia, PA: Saunders, 81e2-92e2.
- Howard, P., Jonkers-Schuitema, C., Furniss, L., Kyle, U., Muehlebach, S., Ödlund-Olin, A., Page, M. & Wheatley, C. 2006. Managing the patient journey through enteral nutritional care. Clinical nutrition, 25, 187-195.
- Juquan, S., Steven E., W., Charles E., W. & Thomas, R. Z. 2020. Specialized nutrition support in burns, wasting, deconditioning, and hypermetabolic conditions. In: Marriott, B. P., Birt, D. F., Stallings, V. A. & Yates, A. A. (eds.) Present Knowledge in Nutrition 11 ed.
- Kruizenga, H., Seidell, J., De Vet, H. C. & Wierdsma, N. 2005. Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ©). Clinical Nutrition, 24, 75-82.
- Luzia Valentini, T. S., Simon Allison, P. H. & Lochs, C. P. A. H. 2012. ESPEN Enteral Nutrisyon Rehberi.
- Mehta, N. M., Skillman, H. E., Irving, S. Y., Coss‐Bu, J. A., Vermilyea, S., Farrington, E. A., Mckeever, L., Hall, A. M., Goday, P. S. & Braunschweig, C. 2017. Guidelines for the provision and assessment of nutrition support therapy in the pediatric critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. Journal of Parenteral and Enteral Nutrition, 41, 706-742.
- Moreira, E., Burghi, G. & Manzanares, W. 2018. Update on metabolism and nutrition therapy in critically ill burned patients. Medicina Intensiva (English Edition), 42, 306-316.
- Nhs 2015. Midlands Burn Operational DeliveryNetworkGuidelines for the Nutritional Management of Adults and Paediatrics Midland Burn Operational Delivery Network, 2.
- Peck, M. D. & Jeschke, M. 2011. Epidemiology of burn injuries globally. Burns, 37.
- Prelack, K., Dylewski, M. & Sheridan, R. L. 2007. Practical guidelines for nutritional management of burn injury and recovery. burns, 33, 14-24.
- Prins, A. 2009. Nutritional management of the burn patient. South African Journal of Clinical Nutrition, 22, 9-15.
- Rousseau, A.-F., Losser, M.-R., Ichai, C. & Berger, M. M. 2013. ESPEN endorsed recommendations: nutritional therapy in major burns. Clinical nutrition, 32, 497-502.
- Sivrikaya, S. K. & Eryilmaz, A. 2018. NÜTRİSYONEL DESTEK EKİBİNDE HEMŞİRELİK. Samsun Sağlık Bilimleri Dergisi, 3, 33-37.
- Sobotka, L. 2017. Klinik nütrisyon temelleri. Çev. ed. Gündoğdu RH. Ankara, Bayt Yayın.
- Taylor, B. E., Mcclave, S. A., Martindale, R. G., Warren, M. M., Johnson, D. R., Braunschweig, C., Mccarthy, M. S., Davanos, E., Rice, T. W. & Cresci, G. A. 2016. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN). Critical care medicine, 44, 390-438.
- Türkoğlu, İ., Ilgaz, F., Yalçin, T., Yürük, A. A., Aksan, A., Çerçi, A., Özel, H. G., Yildiz, E. & Samur, G. 2015. Hastanede yatan yetişkin hastalarda malnütrisyon prevelansı: dört farklı beslenme tarama aracının karşılaştırılması. Beslenme ve Diyet Dergisi, 43, 135-142.
- Vellas, B., Villars, H., Abellan, G., Soto, M., Rolland, Y., Guigoz, Y., Morley, J., Chumlea, W., Salva, A. & Rubenstein, L. 2006. Overview of the MNA®-Its history and challenges. Journal of Nutrition Health and Aging, 10, 456.
- Who. 2019. World Health Organization. Burns [Online]. World Health Organization. Available: https://www.who.int/news-room/fact-sheets/detail/burns [Accessed 11.05.2019 2019].
- Yorganci, K. & Geyik, S. 2007. Ciddi Yanık Hastasının İzlem ve Tedavisi. Hacettepe Tıp Dergisi, 38, 135-140.
- Young, A. W., Graves, C., Kowalske, K. J., Perry, D. A., Ryan, C. M., Sheridan, R. L., Valenta, A., Conlon, K. M., Jeng, J. C. & Palmieri, T. 2017. Guideline for burn care under austere conditions: special care topics. Journal of Burn Care & Research, 38, e497-e509.
Yanık Hastasının Beslenme Gereksinimi: Güncel Öneriler
Year 2021,
Volume: 6 Issue: 3, 249 - 258, 31.12.2021
Sabri Karahan
,
Rana Elçin Sezer
,
Mesude Ünsaldi
Abstract
Ölümcül olmayan yanık yaraları dünyada morbiditenin önde gelen nedenleri arasında yer almaktadır. Majör yanıklar vücutta stres tepkisi ile derin metabolik değişime neden olmaktadır. Yanık hastasındaki bu değişimlere yeterli cevap oluşturmak için yanığa özel bazı spesifik beslenme planlamalarına ihtiyaç vardır. İyi bir beslenme planı anabolik metabolizmayı arttırıp, yara iyileşmesini hızlandırmakta ve yanık hastasının hastanede kalış süresini kısaltmaktadır. Etkili bir beslenme planı için alandaki güncel rehberler takip edilmelidir. Bu makalede güncel rehberlerin yanık hastasının beslenmesi konusundaki önerileri derlenmiştir.
References
- Ahuja, R. B., Gibran, N., Greenhalgh, D., Jeng, J., Mackie, D., Moghazy, A., Moiemen, N., Palmieri, T., Peck, M. & Serghiou, M. 2016. ISBI practice guidelines for burn care. Burns, 42, 953-1021.
- Association, A. B. 2016. Burn incidence and treatment in the United States [Online]. ABA. Available: http://www.ameriburn.org/resources_factsheet.php [Accessed 2020].
- Aydogan, C. & Ekici, Y. 2012. Yanik Hastalarinda Beslenme/Nutrition Support in Burn Patients. Türk Yogun Bakim Dergisi, 10, 74.
- Bakalnliği, S. 2019. Yanık Tedavi Algoritması [Online]. Available: https://khgmsaglikhizmetleridb.saglik.gov.tr/TR-42844/yanik-tedavi-algoritmasi.html [Accessed 2020].
- Barbosa, E., Faintuch, J., Machado Moreira, E. A., Gonçalves Da Silva, V. R., Lopes Pereima, M. J., Martins Fagundes, R. L. & Filho, D. W. 2009. Supplementation of vitamin E, vitamin C, and zinc attenuates oxidative stress in burned children: a randomized, double-blind, placebo-controlled pilot study. Journal of burn care & research, 30, 859-866.
- Bauer, J., Capra, S. & Ferguson, M. 2002. Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. European journal of clinical nutrition, 56, 779-785.
- Beerthuizen, G. & Magnette, A. 2013. European practice guidelines for burn care. Vienna.
- Boeykens, K. & Van Hecke, A. 2018. Advanced practice nursing: Nutrition Nurse Specialist role and function. Clinical nutrition ESPEN, 26, 72-76.
- Brownson, E. G. & Gibran, N. S. 2018. Evaluation of the Burn Wound: Management Decisions. In: HERNDON, D. N. (ed.) Total Burn Care. 5 ed.: Elsevier.
- Christina, R., Franziska, H. & Michael, W. N. 2017. Clinician’s guide to nutritional therapy following major burn injury. Burn Care: Rescue, Resuscitation, and Resurfacing, An Issue of Clinics in Plastic Surgery, E-Book, 44, 555.
- Clark, A., Imran, J., Madni, T. & Wolf, S. E. 2017. Nutrition and metabolism in burn patients. Burns & trauma, 5.
- Dimaria-Ghalili, R. A., Gilbert, K., Lord, L., Neal, T., Richardson, D., Tyler, R., Guenter, P. & Aspen, N. S. R. T. F. 2016. Standards of Nutrition Care Practice and Professional Performance for Nutrition Support and Generalist Nurses. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition, 31, 527.
- Durmuş, M., Muhsiroğlu, Ö., Yapici, A. K., Bayram, Y. & Eski, M. 2016. Yanıkta Tıbbi Beslenme Tedavisi. Turkish Journal of Plastic Surgery, 24.
- Elia, M., Russell, C., Stratton, R., Todorovic, V., Evans, L. & Farrer, K. 2011. The MUST explanatory booklet. A guide to the Malnutrition Universal Screening Tool (MUST) for adults. London: BAPEN.
- Grammatikopoulou, M. G., Theodoridis, X., Gkiouras, K., Stamouli, E. M., Mavrantoni, M. E., Dardavessis, T. & Bogdanos, D. P. 2019. AGREEing on guidelines for nutrition management of adult severe burn patients. Journal of Parenteral and Enteral Nutrition, 43, 490-496.
- Greenfield, E. 2010. The pivotal role of nursing personnel in burn care. Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India, 43, S94.
- Hartford, C. E. & Kealey, G. P. 2007. Care of outpatient burns. Total burn care, 3, 67-80.
- Hartford, C. E. & Kealey, G. P. 2012. Care of outpatient burns. Total Burn Care. 4th ed. Philadelphia, PA: Saunders, 81e2-92e2.
- Howard, P., Jonkers-Schuitema, C., Furniss, L., Kyle, U., Muehlebach, S., Ödlund-Olin, A., Page, M. & Wheatley, C. 2006. Managing the patient journey through enteral nutritional care. Clinical nutrition, 25, 187-195.
- Juquan, S., Steven E., W., Charles E., W. & Thomas, R. Z. 2020. Specialized nutrition support in burns, wasting, deconditioning, and hypermetabolic conditions. In: Marriott, B. P., Birt, D. F., Stallings, V. A. & Yates, A. A. (eds.) Present Knowledge in Nutrition 11 ed.
- Kruizenga, H., Seidell, J., De Vet, H. C. & Wierdsma, N. 2005. Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ©). Clinical Nutrition, 24, 75-82.
- Luzia Valentini, T. S., Simon Allison, P. H. & Lochs, C. P. A. H. 2012. ESPEN Enteral Nutrisyon Rehberi.
- Mehta, N. M., Skillman, H. E., Irving, S. Y., Coss‐Bu, J. A., Vermilyea, S., Farrington, E. A., Mckeever, L., Hall, A. M., Goday, P. S. & Braunschweig, C. 2017. Guidelines for the provision and assessment of nutrition support therapy in the pediatric critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. Journal of Parenteral and Enteral Nutrition, 41, 706-742.
- Moreira, E., Burghi, G. & Manzanares, W. 2018. Update on metabolism and nutrition therapy in critically ill burned patients. Medicina Intensiva (English Edition), 42, 306-316.
- Nhs 2015. Midlands Burn Operational DeliveryNetworkGuidelines for the Nutritional Management of Adults and Paediatrics Midland Burn Operational Delivery Network, 2.
- Peck, M. D. & Jeschke, M. 2011. Epidemiology of burn injuries globally. Burns, 37.
- Prelack, K., Dylewski, M. & Sheridan, R. L. 2007. Practical guidelines for nutritional management of burn injury and recovery. burns, 33, 14-24.
- Prins, A. 2009. Nutritional management of the burn patient. South African Journal of Clinical Nutrition, 22, 9-15.
- Rousseau, A.-F., Losser, M.-R., Ichai, C. & Berger, M. M. 2013. ESPEN endorsed recommendations: nutritional therapy in major burns. Clinical nutrition, 32, 497-502.
- Sivrikaya, S. K. & Eryilmaz, A. 2018. NÜTRİSYONEL DESTEK EKİBİNDE HEMŞİRELİK. Samsun Sağlık Bilimleri Dergisi, 3, 33-37.
- Sobotka, L. 2017. Klinik nütrisyon temelleri. Çev. ed. Gündoğdu RH. Ankara, Bayt Yayın.
- Taylor, B. E., Mcclave, S. A., Martindale, R. G., Warren, M. M., Johnson, D. R., Braunschweig, C., Mccarthy, M. S., Davanos, E., Rice, T. W. & Cresci, G. A. 2016. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN). Critical care medicine, 44, 390-438.
- Türkoğlu, İ., Ilgaz, F., Yalçin, T., Yürük, A. A., Aksan, A., Çerçi, A., Özel, H. G., Yildiz, E. & Samur, G. 2015. Hastanede yatan yetişkin hastalarda malnütrisyon prevelansı: dört farklı beslenme tarama aracının karşılaştırılması. Beslenme ve Diyet Dergisi, 43, 135-142.
- Vellas, B., Villars, H., Abellan, G., Soto, M., Rolland, Y., Guigoz, Y., Morley, J., Chumlea, W., Salva, A. & Rubenstein, L. 2006. Overview of the MNA®-Its history and challenges. Journal of Nutrition Health and Aging, 10, 456.
- Who. 2019. World Health Organization. Burns [Online]. World Health Organization. Available: https://www.who.int/news-room/fact-sheets/detail/burns [Accessed 11.05.2019 2019].
- Yorganci, K. & Geyik, S. 2007. Ciddi Yanık Hastasının İzlem ve Tedavisi. Hacettepe Tıp Dergisi, 38, 135-140.
- Young, A. W., Graves, C., Kowalske, K. J., Perry, D. A., Ryan, C. M., Sheridan, R. L., Valenta, A., Conlon, K. M., Jeng, J. C. & Palmieri, T. 2017. Guideline for burn care under austere conditions: special care topics. Journal of Burn Care & Research, 38, e497-e509.