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Poster 135: Use of metabolic measurement in determining the nutritional needs in a child in a persistent vegetative state: a case report.

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  • Author(s): Enders, Lisa J. a; Monasterio, Eugenio
  • Source:
    In Archives of Physical Medicine and Rehabilitation 2003 84(9):E28-E28
  • Publication Information:
    Elsevier Inc.
  • Document Type:
    Abstract
  • Additional Information
    • Affiliation:
      a MCV/VCU, Richmond, VA USA
    • Keywords:
      Basal metabolism
      Pediatrics
      Persistent vegetative state
      Rehabilitation
    • Abstract:
      Setting: Pediatric extended-care facility. Patient: A 2-year-old ventilator-dependent girl in a persistent vegetative state (PVS). Case Description: The patient began gaining excessive weight at 1 year of age on a nutritional regimen based on conventional formulas for predicting basal metabolic rate (BMR). Her caloric intake was decreased by approximately 10% per week in an attempt to stabilize her weight. Her weight finally began to stabilize when her calories were decreased to about 50% of predicted caloric needs. Metabolic measurements were made at 2 1 2 years of age using indirect calorimetry to measure oxygen consumption (V̇ o 2) and carbon dioxide production (V̇ co 2) via expired gas. These measurements were used to calculate resting energy expenditure (REE) using the Weir equation: REE=(V̇ o 2[3.941]+V̇ co 2[1.11])1440min/d. Assessment/Results: Nutritional assessment based on metabolic measurements using indirect calorimetry showed that the child required significantly fewer calories than predicted by conventional formulas (152kcal/d vs 998kcal/d). The child continued on a nutritional regimen of 240kcal/d from formula and 75kcal/d from ProMod nutrition supplement. She remained adequately nourished and her weight stabilized. Discussion: The metabolic measurements using indirect calorimetry validated the low caloric needs in a child in PVS. Conclusion: Conventional formulas for predicting BMR may overestimate the caloric needs in the patient in a PVS, which results in overfeeding. Metabolic measurements using indirect calorimetry can be useful in determining nutritional needs and designing nutritional regimens in the pediatric patient in a PVS.
    • ISSN:
      0003-9993
    • Accession Number:
      10.1016/S0003-9993(03)00680-4
    • Accession Number:
      S0003999303006804
    • Copyright:
      Copyright @ unknown. Published by Elsevier Inc. on behalf of The American Congress of Rehabilitation Medicine
  • Citations
    • ABNT:
      ENDERS, L. J.; MONASTERIO, E. Poster 135: Use of metabolic measurement in determining the nutritional needs in a child in a persistent vegetative state: a case report. Archives of Physical Medicine and Rehabilitation, [s. l.], v. 84, n. 9, p. E28, 2003. DOI 10.1016/S0003-9993(03)00680-4. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0003999303006804&custid=s8280428. Acesso em: 20 out. 2020.
    • AMA:
      Enders LJ, Monasterio E. Poster 135: Use of metabolic measurement in determining the nutritional needs in a child in a persistent vegetative state: a case report. Archives of Physical Medicine and Rehabilitation. 2003;84(9):E28. doi:10.1016/S0003-9993(03)00680-4
    • APA:
      Enders, L. J., & Monasterio, E. (2003). Poster 135: Use of metabolic measurement in determining the nutritional needs in a child in a persistent vegetative state: a case report. Archives of Physical Medicine and Rehabilitation, 84(9), E28. https://doi.org/10.1016/S0003-9993(03)00680-4
    • Chicago/Turabian: Author-Date:
      Enders, Lisa J., and Eugenio Monasterio. 2003. “Poster 135: Use of Metabolic Measurement in Determining the Nutritional Needs in a Child in a Persistent Vegetative State: A Case Report.” Archives of Physical Medicine and Rehabilitation 84 (9): E28. doi:10.1016/S0003-9993(03)00680-4.
    • Harvard:
      Enders, L. J. and Monasterio, E. (2003) ‘Poster 135: Use of metabolic measurement in determining the nutritional needs in a child in a persistent vegetative state: a case report’, Archives of Physical Medicine and Rehabilitation, 84(9), p. E28. doi: 10.1016/S0003-9993(03)00680-4.
    • Harvard: Australian:
      Enders, LJ & Monasterio, E 2003, ‘Poster 135: Use of metabolic measurement in determining the nutritional needs in a child in a persistent vegetative state: a case report’, Archives of Physical Medicine and Rehabilitation, vol. 84, no. 9, p. E28, viewed 20 October 2020, .
    • MLA:
      Enders, Lisa J., and Eugenio Monasterio. “Poster 135: Use of Metabolic Measurement in Determining the Nutritional Needs in a Child in a Persistent Vegetative State: A Case Report.” Archives of Physical Medicine and Rehabilitation, vol. 84, no. 9, Jan. 2003, p. E28. EBSCOhost, doi:10.1016/S0003-9993(03)00680-4.
    • Chicago/Turabian: Humanities:
      Enders, Lisa J., and Eugenio Monasterio. “Poster 135: Use of Metabolic Measurement in Determining the Nutritional Needs in a Child in a Persistent Vegetative State: A Case Report.” Archives of Physical Medicine and Rehabilitation 84, no. 9 (January 1, 2003): E28. doi:10.1016/S0003-9993(03)00680-4.
    • Vancouver/ICMJE:
      Enders LJ, Monasterio E. Poster 135: Use of metabolic measurement in determining the nutritional needs in a child in a persistent vegetative state: a case report. Archives of Physical Medicine and Rehabilitation [Internet]. 2003 Jan 1 [cited 2020 Oct 20];84(9):E28. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0003999303006804&custid=s8280428