Thermal injury in an adrenalectomized patient

Robert J. Stratta, Jeffrey R. Saffle, C. James Holliman, Melva Kravitz, John L. Ninnemann, Glenn D. Warden

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The occurrence of thermal injury in an adrenalectomized patient on longterm steroid replacement therapy illustrated the role of adrenal hormones in the systemic responses to thermal injury. This unusual patient demonstrated an inadequate response to fluid resuscitation and excessive third-space fluid losses, defective thermogenesis, profound nutritional abnormalities, impaired wound healing, and compromised immunologic function. Nutritional support required correction of calorie-nitrogen proportions from 180:1 to 90:1, following which the patient was in positive nitrogen balance.

Original languageEnglish (US)
Pages (from-to)934-938
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume23
Issue number10
DOIs
StatePublished - Oct 1983

All Science Journal Classification (ASJC) codes

  • Surgery
  • Critical Care and Intensive Care Medicine

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