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Purpose of Review <p>The purpose of this review is to examine the current literature published on nutritional recommendations in patients who suffer burn injuries. We aimed to evaluate available data, incorporate new findings, and synthesize current recommendations into a comprehensive, yet easy-to-reference review.</p> Recent Findings <p>Ongoing support for early, within 24&#xa0;h, initiation of enteral nutrition. Routine glutamine supplementation is not recommended. Similarly, high-dose vitamin C supplementation is not recommended. A growing body of evidence is noted for safety of post-pyloric feeding, including intraoperatively.</p> Summary <p>Early enteral nutrition (EN) is fundamental. EN has a multitude of benefits including dampening the hypermetabolic state, protects against muscle wasting, and reverses immune suppression. Indirect calorimetry remains the gold standard for determining caloric needs. Burn patients require a protein-rich diet. Post-pyloric feeds provide a lower aspiration risk and decrease interruptions in nutrition. Adjuncts such as oxandrolone and propranolol provide a benefit to this population. </p>

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Current Recommendations and Special Considerations in the Care of Patients with Burns

  • 期刊论文

  • 发表日期：

    2026年1月3日

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  • Brittany L. Sims,
  • Chinweotuto V. Uma,
  • Andrew W. Sisson,
  • Gina Genova,
  • Keith R. Miller,
  • Matthew C. Bozeman

摘要

Purpose of Review

The purpose of this review is to examine the current literature published on nutritional recommendations in patients who suffer burn injuries. We aimed to evaluate available data, incorporate new findings, and synthesize current recommendations into a comprehensive, yet easy-to-reference review.

Recent Findings

Ongoing support for early, within 24 h, initiation of enteral nutrition. Routine glutamine supplementation is not recommended. Similarly, high-dose vitamin C supplementation is not recommended. A growing body of evidence is noted for safety of post-pyloric feeding, including intraoperatively.

Summary

Early enteral nutrition (EN) is fundamental. EN has a multitude of benefits including dampening the hypermetabolic state, protects against muscle wasting, and reverses immune suppression. Indirect calorimetry remains the gold standard for determining caloric needs. Burn patients require a protein-rich diet. Post-pyloric feeds provide a lower aspiration risk and decrease interruptions in nutrition. Adjuncts such as oxandrolone and propranolol provide a benefit to this population.