PhilSPEN Online Journal of Parenteral and Enteral Nutrition

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(Article 42 | POJ_0036)

Submitted Abstracts

PENSA 2017 Congress

Submitted: June 25, 2017

Abstract ID = 32 | Classification: Critical care and related issues

Title: The Role of Nutrition Intervention in Burn Patients

Author(s): Nematy M.

Institution where study was conducted:

Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Keywords: Hypermetabolic state; burn; nutrition intervention

Background: Hypermetabolic state that results from major burn injury results in loss of lean body mass, increased fat accretion and protein wasting, and impaired wound healing in burn patients.

Objectives: Discussing about the role of nutrition intervention in burn patients

Methods: Several studies regarding the role of nutrition intervention in burn oatients were reviewed

Results: Due to increased metabolic rate, increased circulating cathecolamines, cortisol and glucagon and increased proteolysis and lipolysis, patients lose around 20% of weight within the first few weeks of injury. Nutrition support represents a critical component in the care of the acutely burned patient. The main goals of nutrition support in burn patients are avoiding malnutrition, promoting wound healing and graft retention, preserving immune function and gut integrity, avoiding overfeeding and hyperglycemia, increased CO2 production, organ system dysfunction. Intestinal feeding must be started by 48 hours post-burn with the goal of achieving full nutritional maintenance within 3 – 5 days.

Conclusion: Aggressive nutritional support is an essential component of burn care which can reduce mortality and complications.