Nutritional support of the burned patient

The Flow Phase of Wound Metabolism Is Characterized by Stimulated Protein Synthesis Rather Than Cell Proliferation

“…At the systemic level, the ebb phase is proposed to be the first 6 to 18 h [25], 12 to 24 h [26], or 48 to 72 h [27], probably because of various responses to different types of injury. In the day 3 group the rabbits were fasted for 72 h before the start of the Travasol infusion, the effect of food deprivation should be assessed.…”

Gender Differences in Pediatric Burn Patients

“…The optimal dietary composition contains 1-2 g/kg/d of protein, which provides a calorie to nitrogen ratio at around 100:1 with the suggested caloric intakes. 16 Nonprotein calories can be given either as carbohydrate or as fat with clinical advantages for the carbohydrates. The diet was delivered by enteral nutrition, if possible, in all our patients.…”

“…Roughly the intake is calculated as 1500 kcal/m 2 body surface plus 1500 kcal/m 2 area burn. 16 The composition of the nutritional supplement is also important. The optimal dietary composition contains 1-2 g/kg/d of protein, which provides a calorie to nitrogen ratio at around 100:1 with the suggested caloric intakes.…”

What, How, and How Much Should Patients with Burns be Fed?

“…Skeletal muscle is thus the major source of fuel in the burned patient, which leads to marked wasting of lean body mass (LBM) within days after injury 4, 64 . This muscle breakdown has been demonstrated with whole body and cross leg nitrogen balance studies in which pronounced negative nitrogen balances persisted for 6 and 9 months after injury 65 .…”