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Review
. 2019 Oct;34(5):666-671.
doi: 10.1002/ncp.10400. Epub 2019 Aug 22.

Feeding During Resuscitation After Burn Injury

Jessica L Masch  1 , Neal Bhutiani  1 , Matthew C Bozeman  1
Affiliations
Review

Feeding During Resuscitation After Burn Injury

Jessica L Masch et al. Nutr Clin Pract. 2019 Oct.

Abstract

Burn injury results in a sustained hypermetabolic state with resulting increased caloric and protein requirements to support the stress and immune responses; augmented protein, fat, and carbohydrate catabolism; oxidative stress; and exudative losses. Along with surgical debridement, nutrition and resuscitation are the foundations of patient management after severe burn injury. Recent literature has demonstrated a clear benefit to early enteral nutrition initiation during the resuscitation period. This review aims to examine recent literature discussing both physiologic impact of burn injury and approaches to feeding during resuscitation after burn injury; including methods of determining nutrition requirements, routes, timing, and monitoring response and the associated benefits and consequences thereof.

Keywords: burns; critical illness; enteral nutrition; metabolism; nutrition support; parenteral nutrition.

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