Abstract
Thermal injury elicits the greatest metabolic response, amongst all traumatic events, in critically ill patients. In order to ensure burns patients can meet the demands of their increased metabolic rate and energy expenditure, adequate nutritional support is essential. Burn injury results in a unique pathophysiology, involving alterations in endocrine, inflammatory, metabolic and immune pathways, and nutritional support needed during the inpatient stay varies depending on burn severity and idiosyncratic patient physiologic parameters. We review the effects of burn injury on nutritional requirements, and how this can be best supported in a healthcare setting.
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