Supplementation of micronutrients after burn injury is common practice in order to fight oxidative stress, support the immune system, and optimize wound healing. Assessing micronutrient status after burn injury is difficult because of hemodilution in the resuscitation phase, redistribution of nutrients from the serum to other organs, and decreases in carrier proteins such as albumin. Although there are many preclinical data, there are limited studies in burn patients. Promising research is being conducted on combinations of micronutrients, especially via the intravenous route.
From the Departments of *Nutrition Services and †Surgery, Harborview Medical Center, Seattle, Washington.
Address correspondence to Megan J. Nordlund, MS, RD, Harborview Medical Center, 325 9th Ave, Box 359790, Seattle, Washington 98104.