Nutritional therapy in a severely injured multiple traumas patients with hypovolemic shock, acute kidney injury, and hypoalbuminemia

Severely injured multiple trauma patients that undergoing surgery generally have a high risk of malnutrition. Surgery can cause a series of reactions including releases of stress hormone and inflammatory mediators that is called Systemic Inflammatory Response Syndrome. The syndrome causes hypermetabolism due to catabolism of glycogen, fat, and protein to enhance the recovery of healing and immune responses and maintain peripheral protein mass. Therefore, nutritional support is essential for the optimal recovery of these patients.