title: Enteral nutrition support in burn care: a review of current recommendations as instituted in the Ross Tilley Burn Centre.
abstract: Failure to adequately address the increased levels of inflammatory mediators, catecholamines and corticosteroids central to the hypermetabolic response post burn injury can lead to catastrophic results. One of the most important perturbations is provision of adequate and early nutrition. The provision of the right balance of macro and micronutrients, along with additional antioxidants is essential to mitigating the hypermetabolic and hypercatabolic state that results following a burn injury. As it is now widely accepted that enteral feeding is best practice for the burn population research has been more closely examining the individual components of enteral nutrition support. Recently fat to carbohydrate ratios, glutamine and antioxidants have made up the balance of this focus. This paper provides a review of the most recent literature examining each of these components and discusses the practices adopted in the Ross Tilley Burn Centre at Sunnybrook Health Sciences Centre.
authors.affiliation: Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, M4N 3M5, Canada. Kathryn.Hall@sunnybrook.ca
authors.forename: Kathryn L
authors.initials: KL
authors.lastname: Hall
authors.forename: Shahriar
authors.initials: S
authors.lastname: Shahrokhi
authors.forename: Marc G
authors.initials: MG
authors.lastname: Jeschke
mesh_terms: D000305:Adrenal Cortex Hormones / Q000097:blood; D000367:Age Factors; D000601:Amino Acids, Essential / Q000008:administration & dosage; D000975:Antioxidants / Q000008:administration & dosage; D002053:Burn Units; D002056:Burns / Q000378:metabolism* / Q000503:physiopathology / Q000628:therapy*; D002170:Canada; D002395:Catecholamines / Q000097:blood; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D004044:Dietary Proteins / Q000008:administration & dosage; D004750:Enteral Nutrition; D005973:Glutamine / Q000008:administration & dosage; D006801:Humans; D007249:Inflammation / Q000503:physiopathology; D018977:Micronutrients / Q000008:administration & dosage; D017410:Practice Guidelines as Topic
chemical_list: D000305:Adrenal Cortex Hormones; D000601:Amino Acids, Essential; D000975:Antioxidants; D002395:Catecholamines; D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004044:Dietary Proteins; D018977:Micronutrients; D005973:Glutamine