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Evaluating nutritional support for moderate to severe burn patients

Author
Amalia Cochran, MD
Section Editor
Marc G Jeschke, MD, PhD
Deputy Editor
Kathryn A Collins, MD, PhD, FACS

INTRODUCTION

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 [1]. Trends, rather than single measurements or point estimates, should be monitored.

Clinical course — Parameters used to evaluate the clinical course include:

Hemodynamic stability

         

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Literature review current through: Nov 2016. | This topic last updated: Mon May 09 00:00:00 GMT+00:00 2016.
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References
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