Current methods used to determine resting energy expenditure in intensive care patients Yoğun bakım hastalarının dinlenme enerji gereksiniminin belirlenmesinde kullanılan güncel yöntemler
Turkiye Klinikleri Journal of Medical Sciences, cilt.38, sa.4, ss.366-377, 2018 (Scopus, TRDizin)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 38 Sayı: 4
- Basım Tarihi: 2018
- Doi Numarası: 10.5336/medsci.2018-61031
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.366-377
- Anahtar Kelimeler: Calorimetry, Indirect, Intensive care units, Nutritional support, Resting energy requirement
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Adequate and balanced nutritional support in intensive care patients constitutes an important part of treatment. Many studies emphasize that determining the individual nutritional needs of patients has an important role in clinical evaluation. Both overfeeding and undernutrition negatively affect the healing process of patients. Accurate determination of resting energy expenditure (REE) is very difficult in clinical practice due to acute diseases and treatments that reduce or increase the patient's REE. Indirect calorimetry (IC), confirmed by parallel measurements of direct calorimetry at REE, is still accepted as the gold standard. However, the IC is not widely used because it is expensive, requires trained personnel and is difficult to transport. Although many predictive equations are used to determine REE in situations where the indirect calorimetry is unavailable most studies show that these equations can not predict REE accurately due to daily variability of REE in intensive care patients. Nevertheless, some studies have reported that Penn State 2010 equation is the closest equation to IC among predivtive equations. Many recent research conducted in intensive care patients show that REE, calculated by CO₂-based indirect calorimetry, provides more accurate estimates than the commonly used equations. The widespread use of capnometers and the relatively low cost suggests that it may be a useful alternative to the evaluation of REE in intensive care units where IC is not available.