[Enteral hyperalimentation in acute cranio-cerebral injuries: replacement or diet therapy?].
The authors raise a discussion on nutritional needs of severely traumatized patients under the currently knowledges about the pathophysiology of trauma, particularly in head injury patients. Special attention to the hypermetabolic and hypercatabolic states is given. Some considerations about dietary glucose and protein interactions are made. Finally, the authors expose the diet composition currently used in their institution. Routes and volumes for diet administration are commented. Questions about further studies in some areas of this field are also stated.
Schelp
A
A
Universidade Estadual Paulista (UNESP), Faculdade de Medicina, Botucatu, Brasil.
Pellizon
A
A
Burini
R
R
D000208:Acute Disease; D001930:Brain Injuries / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy*; D004750:Enteral Nutrition; D006801:Humans
Hiperalimentação enteral em traumatismos crânio-encefálicos agudos. Reposição ou dietoterapia?