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276306

Effect of manufactured fat emulsion Infusion on Protein Loss in Burn Patients (Randomized controlled study)

Article

Last updated: 22 Jan 2023

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Abstract

Background: Burn injury management requires a lot of time and resources. Most patients need lengthy hospital stays. Aim of the study: To determine the impact of manufactured fat emulsion on protein loss in burn patients. Patients and Methods: This Randomized controlled study included 20 patients of 20% up to 40% of TBSA that were hospitalized to department of plastic and reconstructive surgery, Al-Azhar University hospital, which was prospectively be simple into two groups. Group (A) were subjected manufactured fat emulsion IV infusion. Group (B) controlled. The study duration ranged from 6-12 months. The patient administrates 1-1.5g /per kg of intralipid (20%) from post burn day 4. venous blood samples were taken for testing total protein, albumin, total cholesterol and triglyceride and 24 hours' urinary creatinine on post burn days 1st, 7th ,14th, 21st, 30th respectively. Result: There is a substantial reduction in total protein, plasma albumin and urinary creatinine from 1st day to 21days among group A and group B. However, there is a slight change in cholesterol and triglycerides without statistically significant difference. at 1st day and 7th day, total protein, plasma albumin, cholesterol and triglycerides were comparable in both groups without statistically significant difference. At 14th day total protein was substantially greater in group A compared to group B. At 21st and 30th day total protein, plasma albumin was significant higher in group A compared to group B. Conclusion: The intralipid 20 percent IV infusion is a useful energy source to reduce albumin loss in severely burnt individuals.

DOI

10.21608/aimj.2022.150705.2047

Keywords

Assessment, biomarkers, Burn nutrition, Hyper metabolism, Parenteral nutrition

Authors

First Name

Ahmed

Last Name

Elsodany

MiddleName

-

Affiliation

Plastic surgery, Faculty of medicine - Al-Azhar University (Assuit)

Email

genuis.dr@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Salim

MiddleName

Abu-Elsoud

Affiliation

Plastic and Burn surgery, Faculty of medicine, Al Azhar University, Assiut.

Email

ahmedabuelsoud79@gmail.com

City

Cairo

Orcid

-

First Name

Yasser

Last Name

Helmy

MiddleName

-

Affiliation

Plasic & Reconstructive and Burn Surgery Department, Al-Azhar University

Email

dryasserhelmy@gmail.com

City

Cairo

Orcid

0000-0001-9238-1450

Volume

3

Article Issue

12

Related Issue

38580

Issue Date

2022-12-01

Receive Date

2022-07-17

Publish Date

2022-12-01

Page Start

32

Page End

36

Print ISSN

2682-3381

Online ISSN

2682-339X

Link

https://aimj.journals.ekb.eg/article_276306.html

Detail API

https://aimj.journals.ekb.eg/service?article_code=276306

Order

7

Type

Original Article

Type Code

710

Publication Type

Journal

Publication Title

Al-Azhar International Medical Journal

Publication Link

https://aimj.journals.ekb.eg/

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Article

Created At

22 Jan 2023