Overview of 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. Management of nutritional needs in burn patients has many features in common with the nutritional management of other critically ill surgical patients. However, the severity, magnitude, and duration of the hypermetabolic response and the ensuing energy requirements for the severe burn patient are far greater than other critically ill patients.
The unique characteristics of nutritional requirements in the moderate and severe burn patient, including patient selection, initiation, and delivery of nutritional support will be discussed here.
Other aspects of nutritional support in burn patients are reviewed separately:
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- PRIMARY GOAL
- PATIENT SELECTION
- Moderate and severe burns
- Delayed oral intake
- Failure to thrive
- Metabolic syndrome
- INITIATION OF NUTRITIONAL SUPPORT
- Clinical practice
- DELIVERY OF NUTRITIONAL SUPPORT
- Combination therapy
- CALORIC REQUIREMENTS AND ENTERAL FORMULAS
- EVALUATING NUTRITIONAL SUPPORT
- SUMMARY AND RECOMMENDATIONS