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Nutrition guidelines for burned patients.

S J Bell, J Wyatt

    Journal of the American Dietetic Association
    |May 1, 1986
    PubMed
    Summary

    Burned patients require careful nutritional management to meet increased metabolic demands without causing harm. Optimal nutrition therapy minimizes protein breakdown and supports wound healing, utilizing various feeding methods and assessment parameters.

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    Area of Science:

    • Metabolic and Nutritional Support
    • Burn Injury Management

    Background:

    • Burned patients exhibit the highest metabolic demand among hospitalized individuals.
    • Overfeeding can increase morbidity in burn patients, necessitating precise nutritional strategies.

    Purpose of the Study:

    • To review formulas for calculating energy and protein needs in burn patients.
    • To provide guidelines for estimating other nutrient requirements.
    • To discuss methods for nutrition therapy and assessment in burn care.

    Main Methods:

    • Review of various formulas for energy and protein needs calculation.
    • Discussion of parenteral (central/peripheral venous alimentation) and enteral (oral/naso-gastric tube) feeding methods.
    • Evaluation of nutrition assessment parameters, including limitations and new metrics like nitrogen balance.

    Main Results:

    • Several formulas for calculating nutritional needs are available.
    • Parenteral and enteral routes are common feeding methods, chosen based on patient factors.
    • Standard assessment parameters have limitations; new metrics are proposed for better evaluation.

    Conclusions:

    • Appropriate nutritional regimens are crucial for minimizing protein catabolism and promoting wound healing in burn patients.
    • Nutrition therapy must be individualized based on injury severity and gastrointestinal function.
    • Enhanced assessment methods, including nitrogen balance, improve nutrition management for burn survivors.

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