AN EFFECTIVE, SAFE AND PHYSIOLOGIC METOD FOR NUTRITIONAL SUPPORT OF PEDIATRIC BURN PATIENT: EARLY TUBE NUTRITION

Gliconeogenesis, catabolism and basal energy expenditure increase after burn injury In this study; ten burned pediatric patients were started early enteral tube feeding within 24 hours after burn injury. Mean value of 745 kcal was administered within 24 hours after burn injury. Commercial feeding solution was used. Serum albumin levels and change in weight were investigated. Nutritional support was administered continuously infusion by using a feeding pomp. Albumin level of one case felt to 2.4gr/dl once. Albumin replacement was made in this patient. Non of the other patients required albumin replacement. Of ten patients, 20% lost weight of 1250gr; 80% gained weight of 450 gr in average. No important complication was observed. In burned pediatric patients, early sufficient enteral feeding is effective, safe and physiologic method to support of calorie protein, vitamin and other nutritional requirements.

YANIK ÇOCUKLARIN BESLENMESÝNDE ETKÝN, GÜVENÝLÝR VE FÝZYOLOJÝK BÝR YÖNTEM: ERKEN TÜP BESLENME

Yanýk sonrasýnda glikoneogenez, katabolizma ve bazal enerji harcamasý artar. Çalýþmamýzda; 6 erkek 4 kýz, toplam 10 çocuk yanýk hastasýnda, yanýk sonrasý ilk 24 saat içinde tüp beslenmeye baþlandý. Bu süre içinde ortalama 745 kcal beslenme solusyonu verildi. Ticari olarak hazýrlanmýþ enteral beslenme solusyonlarý kullanýldý. Albumin düzeyi ve kilo takibi yapýldý. Beslenme desteði 20 gün boyunca beslenme pompasý yardýmý ile sürekli infüzyon þeklinde sürdürüldü. Hastalardan birinde albumin düzeyi 2.4 gr/dl seviyesine düþtüðü için albumin replasmaný yapýldý. Diðer hastalarda albumin ihtiyacý olmadý. Hastalarýn %20'sinde 1250 gr kilo kaybý, %80'inde 450 gr aðýrlýk artýþý geliþti. Ciddi komplikasyon görülmedi. Erken yeterli enteral beslenmenin yanýk çocuk hastalarda kalori, protein, vitamin ve diðer besin elemanlarýnýn karþýlanmasýnda etkin, güvenli ve fizyolojik bir yöntem olduðu kanýsýna varýldý.