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Nutrition Management of Major Burn Injuries

Lowe, Jessica M., MPH, RDN, CSP; Brody, Rebecca A., PhD, RDN, LD, CNSC

doi: 10.1097/TIN.0000000000000171
Clinical Dietetics Projects

Burn injuries are characterized by hypermetabolic and catabolic states. Despite aggressive intervention, optimizing nutrition support to match the increased metabolic demands remains challenging. Enteral feeding intolerance, found in 35% of these patients, exacerbates caloric and protein debt. In theory, early enteral nutrition could minimize nutrition deficits, but it has not been heavily explored. Ensuring nutritional adequacy is not the only intervention shown to improve outcomes in patients with major burn injuries. Additional strategies include blood glucose management and glutamine supplementation. A case is presented to demonstrate challenges and opportunities for maximizing nutrition support for patients with major burn injuries.

Keck School of Medicine of University of Southern California, Los Angeles (Ms Lowe); LAC + USC Medical Center, Los Angeles, California (Ms Lowe); and School of Health Professions Department of Clinical and Preventive Nutrition Sciences at Rutgers University, Newark, New Jersey (Ms Lowe and Dr Brody).

Correspondence: Jessica M. Lowe, MPH, RDN, CSP, Keck School of Medicine of University of Southern California, 1975 Zonal Ave, Los Angeles, CA 90033 ( or

This manuscript was prepared as part of course requirements while at Rutgers School of Health Professions as part of the degree progress for the doctorate of clinical nutrition.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.