Eur J Trauma Emerg Surg (2017) 43:775–782 https://doi.org/10.1007/s00068-016-0724-z ORIGINAL ARTICLE The impact of measurement of respiratory quotient by indirect calorimetry on the achievement of nitrogen balance in patients with severe traumatic brain injury 1 1 1 1 1 J. Maxwell · C. Gwardschaladse · G. Lombardo · P. Petrone · A. Policastro · 1 1 1 1 D. Karev · K. Prabhakaran · A. Betancourt · C. P. Marini Received: 16 February 2016 / Accepted: 10 September 2016 / Published online: 22 September 2016 © Springer-Verlag Berlin Heidelberg 2016 Abstract decreases protein utilization and optimizes the achievement Background This study evaluated the impact of IC on the of +NB by day 7. optimization of nutritional support and the achievement of +NB in patients with TBI. Keywords Indirect calorimetry · Nitrogen balance · Materials and methods 27 patients (GCS ≤ 8), treated Respiratory quotient · Severe traumatic brain injury with a 5-day multimodality monitoring and goal-directed therapy protocol, received enteral nutrition on day 1 fol- lowed by IC on days 3 and 5 and assessment of NB on day Introduction 7. In the first cohort ( n = 11), no adjustment in kcal was made. In the second cohort (n
European Journal of Trauma and Emergency Surgery – Springer Journals
Published: Sep 22, 2016
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