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Published on: February 23, 2024
Nutrition after severe burn injury
Anne-Françoise Rousseau1, Olivier Pantet2, Daren K Heyland3
1Intensive Care Department and Burn Center, University Hospital of Liège, Liège University, Liège, Belgium.
Nutritional support for severe burn patients presents challenges. While some nutrients show promise, evidence for improved outcomes is limited, and glutamine
Area of Science:
- Metabolic changes in severe burn injury
- Nutritional support for burn patients
Background:
- Severe burn injury necessitates specialized nutritional support due to significant metabolic alterations.
- Current feeding practices for burn patients face challenges related to specific patient needs and clinical limitations.
Approach:
- This review critically examines existing nutritional recommendations for burn patients.
- It evaluates recent data on macro- and micronutrient supplementation in severe burn injury.
Key Points:
- Supplementation with omega-3 fatty acids, vitamin C, vitamin D, and antioxidants may offer physiological benefits, but robust evidence for improved clinical outcomes is lacking.
- The largest trial disproved glutamine's benefits on discharge time, mortality, and bacteremia in burn patients.
- An individualized nutritional approach and the combination of nutrition with physical exercise warrant further investigation.
Conclusions:
- Developing evidence-based guidelines for burn nutrition is difficult due to limited high-quality clinical trials.
- More research is required to refine nutritional support strategies for severe burn injuries.
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