TY - CHAP M1 - Book, Section TI - Burn Injuries in Pregnancy A1 - Williams, Felicia N. A1 - Lee, Jong O. A2 - Pacheco, Luis D. A2 - Saade, George R. A2 - Hankins, Gary D.V. PY - 2015 T2 - Maternal Medicine AB - Despite advances in wound care and critical care medicine, the outcomes of severe burn injuries is still poor. The clinical impact of the injury is often underestimated. Severe burns are followed by a complex catabolic, hypermetabolic response nearly proportional to the size of the injury.1 The response is mediated by a deluge of catecholamines, cortisol, and glucagon to levels up to 10-fold of normal values.2 These elevations persist months to years postinjury, while the clinical manifestations may persist much longer.3,4 The hypermetabolic response to severe burn is associated with increased energy expenditure and energy substrate release from both fat and protein storage leading to profound and persistent whole body catabolism. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - obgyn.mhmedical.com/content.aspx?aid=1115521253 ER -