Adequate feeding is important for healing and resistance to infection. When a burn is
large, the daily calorific requirement can increase 1.5–1.75 times above normal. In
more severe burns, a feeding tube should be inserted to decompress the gut and commence
feeding, preferably within 8 h. Many formulae are available to calculate the
increased calorific requirement, e.g. Harris-Benedict and Curreri. The use of vitamin
supplements is advocated by some, but the role of such supplements in those who
were previously healthy is unproven.
Total parenteral nutrition (TPN) is not indicated in acute burns and is in fact associated
with a higher mortality rate; enteral feeding is preferred as it preserves gut
integrity, reduces bacterial translocation and is safer with fewer complications.
large, the daily calorific requirement can increase 1.5–1.75 times above normal. In
more severe burns, a feeding tube should be inserted to decompress the gut and commence
feeding, preferably within 8 h. Many formulae are available to calculate the
increased calorific requirement, e.g. Harris-Benedict and Curreri. The use of vitamin
supplements is advocated by some, but the role of such supplements in those who
were previously healthy is unproven.
Total parenteral nutrition (TPN) is not indicated in acute burns and is in fact associated
with a higher mortality rate; enteral feeding is preferred as it preserves gut
integrity, reduces bacterial translocation and is safer with fewer complications.
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