[The energy consumption of patients with craniocerebral trauma and spontaneous intracranial hemorrhage in the early postoperative post-traumatic phase].
Indirect calorimetry was performed during the first five days after admission in 18 neurosurgical patients with isolated head - injuries (N = 7) and spontaneous intracranial hemorrhages (N = 11) to determine basal metabolic rates (BMR). In the study group each day BMR varied from 2143 +/- 636 kcal/day to 3371 +/- 1140 kcal/day. Most patients however showed BMR values between 2000 and 2500 kcal/day. Individually BMR values ranged from 60 to 340 percent of normal healthy individuals. Patients with isolated head - injuries showed significant higher metabolic rates than patients with spontaneous intracranial hemorrhages. The authors conclude that an caloric intake of 2000 to 2500 kcal/day is sufficient for parenteral nutrition and usually helps to avoid negative effects of hyperalimentation by overestimation of BMR in this special patient group.
Piek
J
J
Neurochirurgische Universitätsklinik Düsseldorf.
Brachwitz
K
K
Bock
W J
WJ
D000328:Adult; D001930:Brain Injuries / Q000378:metabolism / Q000601:surgery*; D002153:Calorimetry, Indirect; D002543:Cerebral Hemorrhage / Q000378:metabolism / Q000601:surgery*; D004734:Energy Metabolism; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010289:Parenteral Nutrition, Total; D011184:Postoperative Period
Energieverbrauch von Patienten mit Schädel-Hirn-Trauma und spontaner intrakranieller Blutung in der frühen postoperativen/posttraumatischen Phase.