[Are calorimetric changes in brain injury a prognostic factor?].
Energy expenditure of 3 neuro-cranial trauma (Glasgow Score 4 +/- 1) are analysed by indirect calorimetry from D1 to D6 and correlated with other conventional modes of control: intracranial pressure, arterial pressure, temperature, urine output and so on... Energy expenditure usually remains close to resting energy expenditure (R.E.E.) but the nitrogen balance remains constantly negative in spite of a regimen consisting of 9 g. of nitrogen and 1,200 kCal per day. Increases in cranial pressure are accompanied by an 20-25% increase of energy expenditure. It appears that analysis of energy expenditure of the neurocranial trauma could be a useful prognostic index.
Verdy
S
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Département d'anesthésie-réanimation, Centre hospitalier régional et universitaire de Besançon.
D000328:Adult; D001831:Body Temperature; D001930:Brain Injuries / Q000378:metabolism / Q000503:physiopathology*; D002153:Calorimetry, Indirect; D004734:Energy Metabolism; D005260:Female; D015600:Glasgow Coma Scale; D006439:Hemodynamics; D006801:Humans; D007427:Intracranial Pressure; D008297:Male; D010101:Oxygen Consumption; D011379:Prognosis
Les variations calorimétriques enregistrées chez le traumatisé crânien peuvent-elles constituer un indice évolutif?