[Energy metabolism and craniocerebral injury].
Severe head injury induces major hormonal, humoral and metabolic changes, characterized by increases in stress hormone secretion, lymphokines production, associated with high lipid and protein catabolism as well as changes in energy expenditure (EE). Numerous factors influence EE in head-injured patients, particularly anthropometric data, body temperature, nutritional support, level of consciousness, muscular tone and activity. Resting EE is usually increased following brain trauma; however, normal or decreased metabolic rates can be observed in curarized patients on mechanical ventilation or in patients receiving high doses of barbiturates.
Service d'Anesthésiologie, Centre Hospitalier Universitaire Vaudois, Lausanne.
R L
RL
Chiolero
D
D
Thorin
Y
Y
Schutz
E
E
Jequier
D001831:Body Temperature; D001930:Brain Injuries / Q000378:metabolism / Q000503:physiopathology*; D002153:Calorimetry, Indirect; D004734:Energy Metabolism; D006728:Hormones / Q000378:metabolism; D006801:Humans; D009129:Muscle Tonus; D009747:Nutritional Physiological Phenomena / Q000502:physiology; D010101:Oxygen Consumption; D012121:Respiration, Artificial
D006728:Hormones
Métabolisme énergétique et traumatisme crâniocérébral.