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Semin Plast Surg
DOI: 10.1055/s-0044-1782649
Review Article

Update on Hypermetabolism in Pediatric Burn Patients

Sarah A. Layon
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Austin D. Williams
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Matthew J. Parham
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Jong O. Lee
3   Division of Burn, Trauma & Acute Care Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas
4   Department of Surgery, Shriners Children's Texas, Galveston, Texas
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Abstract

Despite advancements in pediatric burn care, the profound hypermetabolic response associated with severe burns remains a multifaceted challenge throughout the continuum of care. Understanding the various physiologic disturbances that constitute hypermetabolism is crucial for a thorough evaluation and for implementing appropriate surgical and nonsurgical interventions. In this article, we describe the pathophysiology and treatment of hypermetabolism in pediatric burn patients with a focus on reducing resting energy requirements, minimizing infection, and optimizing nutrition for patients undergoing frequent surgical intervention.

Keywords

burn injury - pediatric - hypermetabolism - catabolism - stress - inflammation


Publication History

Article published online:
04 April 2024

© 2024. Thieme. All rights reserved.

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