Evaluating nutritional support for moderate to severe burn patients
- Amalia Cochran, MD
Amalia Cochran, MD
- Associate Professor of Surgery
- University of Utah
Nutritional support represents one of the most important cornerstones in the management of patients with a moderate to severe burn injury. Clinical monitoring is the key tool for assessment of the adequacy of nutritional support. Laboratory markers for immune response, indirect calorimetry, and body weight and composition are also used.
This topic reviews assessment of the adequacy of nutritional support in burn patients. Patient selection, timing, delivery, and types of nutrition support, calculating caloric requirements for burn patients and selection of enteral formula are discussed elsewhere. (See "Overview of nutritional support for moderate to severe burn patients" and "Nutritional demands and enteral formulas for moderate-to-severe burn patients".)
CLINICAL MONITORING TOOLS
The adequacy of nutritional support is monitored by assessing the patient's clinical course and wound healing . Trends, rather than single measurements or point estimates, should be monitored.
Clinical course — Parameters used to evaluate the clinical course include:
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