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Nutrition Support Strategies for Severely Burned Patients
Author(s) -
Lee Jong O.,
Benjamin Debbie,
Herndon David N.
Publication year - 2005
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0115426505020003325
Subject(s) - medicine , hypermetabolism , parenteral nutrition , resuscitation , complication , enteral administration , intensive care medicine , lean body mass , burn injury , weight loss , severe burn , surgery , body weight , obesity
Significant weight loss is a common complication of a major burn injury. Before the modern era of early enteral nutrition support, such a complication contributed significantly to impaired wound healing, raised risk of infectious morbidity, and ultimately increased mortality. Nutrition management of the burn patient is designed to promote wound healing while minimizing loss of lean body mass. The burn patient characteristically demonstrates an increase in energy expenditure after the initial injury and period of resuscitation. Studies have demonstrated that early institution of enteral feeding can attenuate the stress response, abate hypermetabolism, and improve patient outcome.