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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
Nutritional issues in sepsis, trauma & burn patients

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Nutritional issues in sepsis, trauma & burn patients