dostęp otwarty

Tom 18 (2023): Continuous Publishing
Praca badawcza (oryginalna)
Wysłany: 2023-08-02
Opublikowany online: 2023-08-30
Pobierz cytowanie

Indirect calorimetry, indications, interpretation, and clinical application

Anna Ukleja1, Michał Kazimierz Skroński2, Bruno Szczygieł2, Włodzimierz Cebulski2, Maciej Słodkowski2
DOI: 10.5603/PZK.2023.0004
·
Postępy Żywienia Klinicznego 2023;18:22-28.
Afiliacje
  1. Department of Clinical Dietetics, Medical University of Warsaw, Poland
  2. Department of General, Gastroenterological and Oncological Surgery, Medical University of Warsaw, Poland

dostęp otwarty

Tom 18 (2023): Continuous Publishing
Artykuły
Wysłany: 2023-08-02
Opublikowany online: 2023-08-30

Streszczenie

The aim of this review is to inform clinicians about the new possibilities in clinical nutrition (enteral or parenteral) based on indirect calorimetry. This method allows for the provision of an appropriate number of calories to undernourished hospitalized patients for nutritional repletion or maintenance. Providing too few or too many calories may result in adverse clinical consequences and worsen the course of the disease, especially in critically ill patients. Thus, optimizing nutrition support according to the individual and specific needs of patients is an urgent task. Indirect calorimetry (IC) is the only practical, clinical method to measure resting energy expenditure (REE). However, from a clinical perspective, knowledge of only one part of total energy expenditure (TEE) is insufficient to plan feeding that covers the actual energy needs of an individual patient. Currently, there is no method better than IC for accurately determining the resting energy needs of hospitalized patients. Although many predictive equations for REE have been developed, none of them can account for all the factors associated with changes in metabolism in critically ill patients. The most widely used equation for this purpose, the Harris and Benedict equation, was issued over 100 years ago and is inaccurate in about 40% of patients. To date, indirect calorimetry remains the gold standard for assessing REE. This paper addresses how to use and interpret indirect calorimetry in planning clinical nutrition for critically ill patients.

Streszczenie

The aim of this review is to inform clinicians about the new possibilities in clinical nutrition (enteral or parenteral) based on indirect calorimetry. This method allows for the provision of an appropriate number of calories to undernourished hospitalized patients for nutritional repletion or maintenance. Providing too few or too many calories may result in adverse clinical consequences and worsen the course of the disease, especially in critically ill patients. Thus, optimizing nutrition support according to the individual and specific needs of patients is an urgent task. Indirect calorimetry (IC) is the only practical, clinical method to measure resting energy expenditure (REE). However, from a clinical perspective, knowledge of only one part of total energy expenditure (TEE) is insufficient to plan feeding that covers the actual energy needs of an individual patient. Currently, there is no method better than IC for accurately determining the resting energy needs of hospitalized patients. Although many predictive equations for REE have been developed, none of them can account for all the factors associated with changes in metabolism in critically ill patients. The most widely used equation for this purpose, the Harris and Benedict equation, was issued over 100 years ago and is inaccurate in about 40% of patients. To date, indirect calorimetry remains the gold standard for assessing REE. This paper addresses how to use and interpret indirect calorimetry in planning clinical nutrition for critically ill patients.

Pobierz cytowanie

Słowa kluczowe

indirect calorimetry; critically ill; indications; interpretation

Informacje o artykule
Tytuł

Indirect calorimetry, indications, interpretation, and clinical application

Czasopismo

Postępy Żywienia Klinicznego

Numer

Tom 18 (2023): Continuous Publishing

Typ artykułu

Praca badawcza (oryginalna)

Strony

22-28

Opublikowany online

2023-08-30

Wyświetlenia strony

292

Wyświetlenia/pobrania artykułu

350

DOI

10.5603/PZK.2023.0004

Rekord bibliograficzny

Postępy Żywienia Klinicznego 2023;18:22-28.

Słowa kluczowe

indirect calorimetry
critically ill
indications
interpretation

Autorzy

Anna Ukleja
Michał Kazimierz Skroński
Bruno Szczygieł
Włodzimierz Cebulski
Maciej Słodkowski

Regulamin

Ważne: serwis https://journals.viamedica.pl/ wykorzystuje pliki cookies. Więcej >>

Używamy informacji zapisanych za pomocą plików cookies m.in. w celach statystycznych, dostosowania serwisu do potrzeb użytkownika (np. język interfejsu) i do obsługi logowania użytkowników. W ustawieniach przeglądarki internetowej można zmienić opcje dotyczące cookies. Korzystanie z serwisu bez zmiany ustawień dotyczących cookies oznacza, że będą one zapisane w pamięci komputera. Więcej informacji można znaleźć w naszej Polityce prywatności.

Czym są i do czego służą pliki cookie możesz dowiedzieć się na stronie wszystkoociasteczkach.pl.

Wydawcą serwisu jest VM Media Group sp. z o.o., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl