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  3. Biomedical And Clinical Sciences
  4. Nutrition And Dietetics
  5. Nutritional Science
  6. Safety Of Maintaining Nutrition Through Moderate Sedation For Burn Wound Care

Safety of Maintaining Nutrition Through Moderate Sedation for Burn Wound Care

Amber D Kohler1,2, Scott W Mueller1,3, Naveen Kukreja1,4

  • 1UCHealth Burn and Frostbite Center, University of Colorado Hospital, 12605 E 16th Ave, Anschutz Inpatient Pavilion, Aurora, CO 80045, USA.

Journal of Burn Care & Research : Official Publication of the American Burn Association
|March 24, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Maintaining nutrition during moderate sedation for burn wound care is safe. This study found no aspiration complications in burn patients who continued oral or tube feeds, suggesting a safe practice for this vulnerable population.

Area of Science:

  • Medical Anesthesiology
  • Burn Care
  • Critical Care

Background:

  • Burn patients frequently need moderate sedation for wound care.
  • Current guidelines recommend fasting (nil per os) before moderate sedation.

Purpose of the Study:

  • To evaluate the safety of moderate sedation in burn patients who maintain uninterrupted nutrition.
  • To assess the risk of aspiration and other complications.

Main Methods:

  • A 12-month retrospective analysis of non-intubated burn patients undergoing moderate sedation for wound care.
  • Data collected on nutrition timing, medications, sedation levels (Richmond Agitation-Sedation Score), and adverse events.
  • Analysis included patients with continued oral intake and gastric tube feeds.

Main Results:

Keywords:
Moderate sedationburn wound carefasting guidelinesnutrition

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  • 97 sedations were performed on 24 patients.
  • Nutrition was consumed a median of 38 minutes before sedation; 33% had continuous tube feeds.
  • No aspiration-related complications (vomiting, aspiration, pneumonia, hypoxemia, airway obstruction, death) occurred. Hypertension and hypotension were noted.
  • The 97.5% upper confidence interval for aspiration complications was 3.7%.

Conclusions:

  • Uninterrupted nutrition, including continuous gastric tube feeds, appears safe during moderate sedation for burn wound care.
  • No harmful adverse events related to maintained nutrition were observed in this cohort.
  • This practice warrants further investigation in larger studies.