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

2. Objectives
• High metabolic demand
• Nutrition to meet that demand

3. Hypermetabolic state

4. Requirements

5. Catabolism

7. Management

8. When to start

9. Determination of Nutrient
Requirements
• Energy
• Protein
• Vitamins, Minerals, Trace Elements
• Non-protein Substrate
– Carbohydrate
– Fat

10. • 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

11. Assessment & Monitoring

14. Surviving Sepsis Campaign 2012

19. Starvation vs Stress

21. Summarize
• Stress  Hypermetabolism
• High substrate demand
• Goal  prevent catabolism
• Reverse malnutrition