Abstract
There is a need for estimating the calorific requirements of patients undergoing or about to undergo total parenteral nutrition (TPN) other than by complicated direct calorimetry or by guesswork. We describe a simple, cheap, indirect calorimetric method for determining energy requirements from the measurement of mixed expired carbon dioxide tension (PĒCO2) in patients who are intubated, and in whom the breathing circuit characteristics allow collection of pure expired gas. This can be achieved by collection of expired gas from ventilators where an on-demand fresh gas flow rather than a continuous flow occurs during spontaneous or intermittent positive pressure ventilation, such as with the Siemens Servo 900C.
Similar content being viewed by others
References
Askanazi J, Carpentier YA, Elwyn DH, Nordenstrom J, Jeevanandam M, Rosenbaum SH, Gump FE, Kinney JM (1980) Influence of total parenteral nutrition on fuel utilization in injury and sepsis. Ann Surg 191:40
Dauncey MJ, Murgatroyd PR, Cole TJ (1978) A human calorimeter for the direct and indirect measurement of 24-h energy expenditure. Br J Nutr 39:557
Wilmore DW (1977) The metabolic management of the critically ill. Plenum, New York
McCamish MA, Dena RE, Ouellette RRT (1981) Assessing energy requirements of patients on respirators. J Parenteral Enteral Nutr 5:513
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Smith, H.S., Kennedy, D.J. & Park, G.R. A nomogram for rapid calculation of metabolic requirements on intubated patients. Intensive Care Med 10, 147–148 (1984). https://doi.org/10.1007/BF00265804
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00265804