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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2006

Open Access 01-12-2006 | Review

Metabolic changes after polytrauma: an imperative for early nutritional support

Authors: Erik Hasenboehler, Allison Williams, Iris Leinhase, Steven J Morgan, Wade R Smith, Ernest E Moore, Philip F Stahel

Published in: World Journal of Emergency Surgery | Issue 1/2006

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Abstract

Major trauma induces marked metabolic changes which contribute to the systemic immune suppression in severely injured patients and increase the risk of infection and posttraumatic organ failure. The hypercatabolic state of polytrauma patients must be recognized early and treated by an appropriate nutritional management in order to avoid late complications. Clinical studies in recent years have supported the concept of "immunonutrition" for severely injured patients, which takes into account the supplementation of Ω-3 fatty acids and essential aminoacids, such as glutamine. Yet many aspects of the nutritional strategies for polytrauma patients remain controversial, including the exact timing, caloric and protein amount of nutrition, choice of enteral versus parenteral route, and duration. The present review will provide an outline of the pathophysiological metabolic changes after major trauma that endorse the current basis for early immunonutrition of polytrauma patients.
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Metadata
Title
Metabolic changes after polytrauma: an imperative for early nutritional support
Authors
Erik Hasenboehler
Allison Williams
Iris Leinhase
Steven J Morgan
Wade R Smith
Ernest E Moore
Philip F Stahel
Publication date
01-12-2006
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2006
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-1-29

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