Open AccessINDIRECT CALORIMETRY AS AN OBJECTIVE TECHNIQUE FOR ASSESSING ENERGY NEEDS OF PATIENTS IN CRITICAL STATES
Author(s) -
E. S. Glebova,
E. V. Ivanova-Davidova,
Valery G. Amcheslavsky
Publication year - 2019
Publication title -
detskaâ hirurgiâ
Language(s) - English
Resource type - Journals
eISSN - 2412-0677
pISSN - 1560-9510
DOI - 10.18821/1560-9510-2019-23-6-329-334
Subject(s) - clinical practice , intensive care medicine , energy (signal processing) , medicine , calorimetry , critically ill , medical physics , family medicine , statistics , physics , mathematics , thermodynamics
Background. Nutrition is one of the most important aspects of intensive care. While working over the nutritive program, one should take into account patient’s energy needs, which lie in a narrow range - to avoid under- or overfeeding. Purpose. To compare modern approaches to metabolic rate assessment in patients in ICU and to find the most effective one. Material and methods. The researchers have analyzed published data of clinical trials on metabolic monitoring in Russia and abroad. Results. After the scientific articles had been analyzed, it became evident that current calculation approaches cannot be considered reliable in pediatric clinical practice, especially in ICU. Thus, the indirect calorimetry, as an objective technique for calculating energy needs in patients, should be used in pediatric practice.