Total parenteral nutrition in critically ill surgical patients: fixed vs tailored caloric replacement. 1987

J J van Lanschot, and B W Feenstra, and R Looijen, and C G Vermeij, and H A Bruining

In critically ill patients accurate measurement of total energy expenditure (TEE) is possible by means of continuous indirect calorimetry. Since in many ICUs the necessary equipment is not available, the Harris-Benedict formula (HB) is frequently used to calculate TEE. Supplemental application of a clinical correction factor (HBc) has been advised. In this study we assessed the reliability of both methods of calculation and of a standard nutritional regimen, all three compared to the calorimetrically measured TEE (gold standard). Although the basic HB-formula did not perform better than the standard regimen, significantly better results were obtained by supplemental application of the clinical correction factor (HBc). It is left undecided, whether or not indirect calorimetry is actually to be preferred in daily clinical practice.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010289 Parenteral Nutrition, Total The delivery of nutrients for assimilation and utilization by a patient whose sole source of nutrients is via solutions administered intravenously, subcutaneously, or by some other non-alimentary route. The basic components of TPN solutions are protein hydrolysates or free amino acid mixtures, monosaccharides, and electrolytes. Components are selected for their ability to reverse catabolism, promote anabolism, and build structural proteins. Hyperalimentation, Parenteral,Intravenous Hyperalimentation,Nutrition, Total Parenteral,Parenteral Hyperalimentation,Total Parenteral Nutrition,Hyperalimentation, Intravenous
D011182 Postoperative Care The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed) Care, Postoperative,Postoperative Procedures,Procedures, Postoperative,Postoperative Procedure,Procedure, Postoperative
D002149 Energy Intake Total number of calories taken in daily whether ingested or by parenteral routes. Caloric Intake,Calorie Intake,Intake, Calorie,Intake, Energy
D002153 Calorimetry, Indirect Calculation of the energy expenditure in the form of heat production of the whole body or individual organs based on respiratory gas exchange. Calorimetry, Respiration,Calorimetries, Indirect,Calorimetries, Respiration,Indirect Calorimetries,Indirect Calorimetry,Respiration Calorimetries,Respiration Calorimetry
D003422 Critical Care Health care provided to a critically ill patient during a medical emergency or crisis. Intensive Care,Intensive Care, Surgical,Surgical Intensive Care,Care, Critical,Care, Intensive,Care, Surgical Intensive
D004734 Energy Metabolism The chemical reactions involved in the production and utilization of various forms of energy in cells. Bioenergetics,Energy Expenditure,Bioenergetic,Energy Expenditures,Energy Metabolisms,Expenditure, Energy,Expenditures, Energy,Metabolism, Energy,Metabolisms, Energy
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

J J van Lanschot, and B W Feenstra, and R Looijen, and C G Vermeij, and H A Bruining
November 1995, Der Anaesthesist,
J J van Lanschot, and B W Feenstra, and R Looijen, and C G Vermeij, and H A Bruining
January 2003, Nutricion hospitalaria,
J J van Lanschot, and B W Feenstra, and R Looijen, and C G Vermeij, and H A Bruining
October 1999, JAMA,
J J van Lanschot, and B W Feenstra, and R Looijen, and C G Vermeij, and H A Bruining
October 1999, JAMA,
J J van Lanschot, and B W Feenstra, and R Looijen, and C G Vermeij, and H A Bruining
October 1999, JAMA,
J J van Lanschot, and B W Feenstra, and R Looijen, and C G Vermeij, and H A Bruining
May 1986, Archives of surgery (Chicago, Ill. : 1960),
J J van Lanschot, and B W Feenstra, and R Looijen, and C G Vermeij, and H A Bruining
January 2008, Anestezjologia intensywna terapia,
J J van Lanschot, and B W Feenstra, and R Looijen, and C G Vermeij, and H A Bruining
October 1994, Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition,
J J van Lanschot, and B W Feenstra, and R Looijen, and C G Vermeij, and H A Bruining
February 1983, Israel journal of medical sciences,
J J van Lanschot, and B W Feenstra, and R Looijen, and C G Vermeij, and H A Bruining
April 1999, Lancet (London, England),
Copied contents to your clipboard!