Nutrition therapy in traumatic brain injury
Level II 1) : the full caloric replacement should be attained by post-trauma day 7
1. by post-trauma day 7, replace the following (enterally or parenterally):
a) non-paralyzed patients: 140% of predicted basal energy expenditure (BEE) b) paralyzed patients:100% of predicted BEE
2. provide ≥ 15% of calories as protein
3. nutritional replacement should begin within 72 hrs of head injury in order to achieve goal #1 by day 7
Caloric requirements for severe traumatic brain injury
Enteral nutrition in Traumatic Brain Injury
Nitrogen balance
1)
Brain Trauma Foundation, Povlishock JT, Bullock MR. Nutrition. J Neurotrauma. 2007; 24:S77–S82