Castañón GJA, Miranda RR, León GMA, Torres RE

Language: Spanish
References: 6
Page: 24-27
PDF size: 94.96 Kb.

ABSTRACT

Energy expenditure (EE) in critically ill patients is reviewed. Differences between predicted and measured EE in critically ill patients are emphasized. Predicted EE is based on standard mathematical formulas which take into account sex, age, weight and height derived from normal ambulatory patients. The values obtained from this formulas are considered the basal metabolic rate of normal individuals, and when applied to different pathological states, specially corrected factors are used, which makes them difficult to apply in critically ill patients since conditions vary widely from day to day. Measured EE by indirect calorimetry is considered the "gold standard", but it is expensive and not readily available in all intensive care units, so an alternative and practical method to predict energy expenditure using capnometry and the modified Weir equation developed in our intensive care unit is presented.

REFERENCES

1. Torres-Rocío E, Miranda-Ruiz R, Castañón-González JA. Cálculo del requerimiento energético para pacientes graves en estado crítico por dos métodos utilizando el Indice de Masa Corporal (IMC). VI Congreso Nacional de la Asociación de Alimentación Enteral y Endovenosa Puerto Vallarta, Jalisco. México, 1995; 28-30.

2. Torres-Rocío E, Castañón-González JA, Miranda-Ruiz R. Comparación de cuatro fórmulas para obtener el peso ideal en pacientes de la unidad de cuidados intensivos. XXIII Reunión Nacional de Medicina Crítica y Terapia Intensiva Veracruz, Ver. México, 1996; 4-7.

3. Torres-Rocío E, Castañón-González JA, Miranda-Ruiz R. Comparación del Gasto Energético obtenido por calorimetría indirecta y el índice de Masa Corporal. VII Congreso Nacional de la Asociación de Alimentación Enteral y Endovenosa Ciudad de México. México, 1996; 24-28.

4. Miranda-Ruíz R, Castañón-González JA, Espinoza de los Monteros L, Vázquez de Anda G, Gallegos-Pérez H, León-Gutierrez MA. Gasto energético en pacientes graves y en estado crítico. Gac Med Méx 1996; 132: 459-460.

5. Espinoza de los Moneteros L, Castañon-González JA, Miranda-Ruíz R, Torres-Rocio E, León Gutiérrez MA. A practical method to predict resting energy expenditure in postoperative neurosurgical patients in controlled mechanical ventilation using capnometry and modified Weir equation. Correlations with indirect calorimetry. The 7th World Congress of Intensive and Critical Care Medicine. Otawa-Canada Jun 29-Jul 3, 1997.

6. Miranda-Ruíz R, Castañon-González JA, Morales-Lozada R, Tores-Rocio E, León-Gutiérrez MA, Gallegos-Pérez H. Gasto energético y estado metabólico en pacientes con pacreatitis aguda grave con y sin sepsis asociada. Rev Med IMSS 1998; 136 en prensa.