Metabolism in the Trauma Patient

摘要: Injured patients represent a unique population as they are hypermetabolic and thus require increased feeding to meet energy requirements. Numerous studies have documented that the early provision of enteral nutrition critically injured is beneficial. However, trauma poses number difficult nutritional challenges. Damage control surgery with bowel in discontinuity, open abdomens, recent anastomosis, need for frequent operative interventions all make achieving adequacy difficult. With increase elderly patients, adequate this high risk group even more important, but suggest we significantly underfeeding these patients. Additionally, sarcopenia, or low muscle mass, upon admission has been recognized factor mortality may be made worse by lack mobilization. Techniques assess mass discussed including use ultrasound.