原创力文档a pilot review of gradual versus goal re-initiation of enteral nutrition after burn surgery in the hemodynamically stable patient：在血流动力学稳定的患者烧伤手术后逐渐与肠内营养的目标重新启动试点评审.pdfVIP
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a pilot review of gradual versus goal re-initiation of enteral nutrition after burn surgery in the hemodynamically stable patient：在血流动力学稳定的患者烧伤手术后逐渐与肠内营养的目标重新启动试点评审
b u r n s 4 0 ( 2 0 14 ) 1 5 8 7 – 1 5 9 2
Available online at
ScienceDirect
journal homepage: /locate/burns
A pilot review of gradual versus goal re-initiation of
enteral nutrition after burn surgery in the
hemodynamically stable patient
Beth A. Shields a,*, Jennifer N. Brown a, James K. Aden b,
Marybeth Salgueiro a, Elizabeth A. Mann-Salinas b, Kevin K. Chung b,c
a San Antonio Military Medical Center, Ft. Sam Houston, TX, United States
b United States Army Institute of Surgical Research, Ft. Sam Houston, TX, United States
c Uniformed Services University for the Health Sciences, Bethesda, MD, United States
a r t i c l e i n f o a b s t r a c t
Article history: Severe weight loss resulting from inadequate nutritional intake along with the hyperme-
Accepted 16 February 2014 tabolism after thermal injury can result in impaired immune function and delayed wound
healing. This observational study was conducted on adults admitted between October 2007
Keywords: and April 2012 with at least 20% total body surface area burn requiring excision who
Enteral previously tolerated gastric enteral nutrition at calorie goal and who returned from surgery
Burn hemodynamically stable (no new pressor requirement) and compared the effect of goal rate
Nutrition re-initiation versus slow re-initiation after the first excision and grafting. Demographic,
Surgery intake, and tolerance data were collec
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