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Current Applications of Metabolic Monitoring in the Pediatric Intensive Care Unit
Author(s) -
Mehta Nilesh M.,
Smallwood Craig D.,
Graham Robert J.
Publication year - 2014
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533614526259
Subject(s) - medicine , intensive care medicine , critically ill , intensive care unit , energy expenditure , intensive care , endocrinology
Delivery of adequate nutrients during illness to counteract the metabolic stress response and facilitate healing and tissue repair is an important goal in the care of critically ill children. With recent advances in technology, accurate minute‐to‐minute gas exchange and energy expenditure measurements are now available in intensive care units. The bedside availability of these devices may allow a titrated approach to energy delivery for patients, ushering in a new era of individualized nutrition therapy. Basic concepts, available monitoring devices, indications, pitfalls, and bedside application of metabolic monitoring are discussed in this article.