Metabolic Changes After Polytrauma and the Need for Early Nutritional Support
Author Information
Author(s): Erik Hasenboehler, Allison Williams, Iris Leinhase, Steven J Morgan, Wade R Smith, Ernest E Moore, Philip F Stahel
Primary Institution: Denver Health Medical Center, University of Colorado School of Medicine
Hypothesis
The hypercatabolic state of polytrauma patients must be recognized early and treated by appropriate nutritional management to avoid late complications.
Conclusion
Dramatic metabolic changes occur in severely injured patients which must be acknowledged early and monitored during the posttraumatic phase.
Supporting Evidence
- Clinical studies have supported the concept of 'immunonutrition' for severely injured patients.
- Early enteral nutrition has been shown to decrease posttraumatic infection rates and improve overall outcomes.
- Guidelines recommend early enteral feeding within 24-48 hours after admission in the ICU.
Takeaway
When someone gets really hurt, their body goes through big changes that can make them sick later. Giving them the right food early can help them get better.
Methodology
This is a review article summarizing clinical studies and guidelines on nutritional support for polytrauma patients.
Limitations
The exact timing, caloric and protein amount of nutrition, and choice of enteral versus parenteral route remain controversial.
Digital Object Identifier (DOI)
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