Table 1.
Systemic Inflammatory Response | Stress Response | Hypermetabolism |
---|---|---|
tachycardia | tachycardia | tachycardia |
tachypnea | Increased endogenous glucocorticoid production | Muscle wasting |
Leukocytosis or leukopenia | Increased sympathetic drive leading to increased catecholamine production | Increased oxygen consumption |
hyperglycemia | Increased lipolysis and fatty acid oxidation | Insulin resistance |
Increased C reactive Protein | Abnormal skeletal muscle mitochondrial function leading to uncoupling of mitochondrial respiration and heat production | |
thrombocytopenia | Browning of white adipose tissue | |
Coagulation disorders |
Modified from Herndon DN Editor, Total Burn Care, Edinburgh, London, Elsevier, Fifth Edition 2018.