Do PICU patients meet technical criteria for performing indirect calorimetry?

Clinical Nutrition ESPEN
Megan R BeggsBodil Larsen

Abstract

Indirect calorimetry (IC) is considered gold standard for assessing energy needs of critically ill children as predictive equations and clinical status indicators are often unreliable. Accurate assessment of energy requirements in this vulnerable population is essential given the high risk of over or underfeeding and the consequences thereof. The proportion of patients and patient days in pediatric intensive care (PICU) for which energy expenditure (EE) can be measured using IC is currently unknown. In the current study, we aimed to quantify the daily proportion of consecutive PICU patients who met technical criteria to perform indirect calorimetry and describe the technical contraindications when criteria were not met. Prospective, observational, single-centre study conducted in a cardiac and general PICU. All consecutive patients admitted for at least 96 h were included in the study. Variables collected for each patient included age at admission, admission diagnosis, and if technical criteria for indirect calorimetry were met. Technical criteria variables were collected within the same 2 h each morning and include: provision of supplemental oxygen, ventilator settings, endotracheal tube (ETT) leak, diagnosis of chest tube air...Continue Reading

Citations

Dec 21, 2018·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Joop JonckheerElisabeth De Waele
Jun 20, 2019·Journal of Clinical Medicine·An JacobsGreet Van den Berghe
Feb 20, 2020·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·L ChimaA M Madden
May 27, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Won Kyoung Jhang, Seong Jong Park
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Aug 8, 2020·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Ines VerlindenGreet Van den Berghe

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