Nutritional issues in sepsis, trauma & burn patients

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Nutritional issues in Sepsis, Trauma & Burn patients Dr Saurabh Debnath

Transcript of Nutritional issues in sepsis, trauma & burn patients

Nutritional issues in Sepsis, Trauma & Burn patients

Dr Saurabh Debnath

Objectives

• High metabolic demand

• Nutrition to meet that demand

Hypermetabolic state

Requirements

Catabolism

Management

When to start

Determination of Nutrient Requirements

• Energy

• Protein

• Vitamins, Minerals, Trace Elements

• Non-protein Substrate

– Carbohydrate

– Fat

• Objectives of optimal metabolic and nutritional support in injury, trauma, burns, sepsis:

1. Detect and correct preexisting malnutrition

2. Prevent progressive protein-calorie malnutrition

3. Optimize patient’s metabolic state by managing fluid and electrolytes

Assessment & Monitoring

Surviving Sepsis Campaign 2012

Starvation vs Stress

Summarize

• Stress Hypermetabolism

• High substrate demand

• Goal prevent catabolism

• Reverse malnutrition