[Permanent registration of the energy transformation in patients with skull-brain injuries and brain tumors].
By means of a measuring device based on the principles of indirect calorimetry, long-term recording of energy transformation in patients with cerebral tumours and cerebral traumas is performed. Contrary to the conception that the catabolic state in the postoperative/posttraumatic period corresponds to a negative balance between requirement and enteral/parenteral supply, it appears that, as a rule, the energy requirement is only 1 to 1 1/2 times higher than under normal conditions. During long-term measurement, clinical phenomena that are characterized by increased muscular activity (seizures, extension automatisms, extreme psychomotor excitations) show a daily requirement of maximal 3,500 kcal. Considering the clearly lower requirement, the change of the catabolic state by a high-caloric intake (5,000 and 6,000 calories/day) can only be due to an effect on the regulation of the metabolic processes.
D001481:Basal Metabolism; D001930:Brain Injuries; D001932:Brain Neoplasms / Q000378:metabolism*; D002151:Calorimetry; D002153:Calorimetry, Indirect; D004734:Energy Metabolism; D006408:Hematoma, Subdural / Q000378:metabolism; D006801:Humans; D012886:Skull / Q000293:injuries*; D013696:Temperature; D014948:Wounds, Gunshot
Dauerregistrierung des Leistungsumsatzes bei Patienten mit Schädel-Hirn-Trauma und Hirntumoren