Pat writes:

Some kids  with bad burns simply can not ingest the # of calories needed. 
Then they are  ng tube fed.  Teens are always sure they can do it and are given 
some  time to try, but usually end up on continuous ng feedings to simply get 
in the  # of calories they need.  Burn units have a formula for 
figuring this  out based on the area burned.  Because a baby has a small body 
surface  their needs are usually even higher.  I would pump, spin the milk to 
get  high cal. measure with cream-mat-o-crit and then add fortifier.  If baby 
 is able to nurse, let him nurse for comfort and tube feed him whatever else 
he  needs.  I'm sure a small baby will nurse for comfort, even if being tube  
fed high cal breast milk.



Pat,
Thanks for writing. I think the reason this babe is not being tube fed is  
the surface area of the burns is actually very small, it's just that  they are 
in very physically and emotionally critical areas. So his calorie  increase 
needs are  lower than a baby with  full thickness burns,  and/or burns over more 
surface area.They must feel that what they are doing is  enough with their 
calculations, without the tube right now.  I am glad  he is in a really good burn 
center. 
 
Peace,
Judy



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