IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-10-22975 Original Research Paper Nutrition in BurnsCurrent guidelines & Practices Baranwal Dr. October 2019 8 10 01 02 ABSTRACT

Burns is capable of causing significant metabolic derangements due to which nutritional support becomes extremely pivotal for burns patients. Burns Injury causes persistent & prolonged hypermetabolic state with increased catabolism that leads to excessive muscle wasting and cachexia. Basal Metabolic rate in burns patients can become manifolds so that often with standard nutritional support, the massive energy demands are not met with leading to increased susceptibility to infection, systemic derangements, organ dysfunction and impaired wound healing. Though early enteral nutrition with increased energy intake formulae have been preferred whenever applicable in burns patients, the optimal timing, route, amount, quantity and composition of nutritional formulae for burns patients is always debatable. Therefore, it should be individualised, monitored and adjusted throughout the course of treatment and needs to be modified at various phases of recovery.