Journal of Critical Care
Volume 25, Issue 4 , Pages 659.e9-659.e16 , December 2010

Mechanical ventilation mode (volume × pressure) does not change the variables obtained by indirect calorimetry in critically ill patients

  • Franciele C. Meireles Clapis, MS

      Affiliations

    • Divisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, 14049-900 Ribeirão Preto, SP, Brazil
    • ,
  • Maria Auxiliadora-Martins, MD, PhD

      Affiliations

    • Divisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, 14049-900 Ribeirão Preto, SP, Brazil
    • Corresponding Author InformationCorresponding author. Centro de Terapia Intensiva-Campus, Faculdade de Medicina de Ribeirão Preto-USP, 3900, 14049-900 Ribeirão Preto, SP, Brazil. Fax: +55 16 36022439.
    • ,
  • Camila Cremonezi Japur, MS

      Affiliations

    • Divisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, 14049-900 Ribeirão Preto, SP, Brazil
    • ,
  • Olindo Assis Martins-Filho, PhD

      Affiliations

    • Laboratório de Biomarcadores de Diagnóstico e Monitoração, Centro de Pesquisas René Rachou, Fundação Oswaldo Cruz-Minas, 30190-002 Belo Horizonte, MG, Brazil
    • ,
  • Paulo Roberto Barbosa Évora, MD, PhD

      Affiliations

    • Divisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, 14049-900 Ribeirão Preto, SP, Brazil
    • ,
  • Anibal Basile-Filho, MD, PhD

      Affiliations

    • Divisão de Terapia Intensiva, Departamento de Cirurgia e Anatomia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, 14049-900 Ribeirão Preto, SP, Brazil

References 

  1. Simonson DC, DeFronzo RA. Indirect calorimetry: methodological and interpretative problems. Am J Physiol. 1990;258:E399–412
  2. Matarese LE. Indirect calorimetry: technical aspects. J Am Diet Ass. 1997;97:S154–S160
  3. Takala J, Meriläinen PT. Handbook of Gas Exchange and Indirect Calorimetry, Datex Ohmeda Inc., Helsinki (1987).
  4. Walsh TS. Recent advances in gas exchange measurement in intensive care patients. Brit J Anaesth. 2003;9:120–131
  5. Taskar V, John J, Larsson A. Dynamics of carbon dioxide elimination following ventilator resetting. Chest. 1995;108:196–202
  6. Marson F., Auxiliadora-Martins M., Coletto F.A., et al. Correlation between oxygen consumption calculated using Fick's method and measured with indirect calorimetry in critically ill patients. Arq Bras Cardiol 2004; 82:77-81, 72-6.
  7. Coletto FA, Marson F, Campos AD, et al. Análise comparativa do gasto energético entre as equações de Harris-Benedict e de Long e a calorimetria indireta em pacientes sépticos. RBTI. 2003;15:93–100
  8. Brandi LS, Bertolini R, Calafà M. Indirect calorimetry in critically ill patients: clinical applications and practical advice. Nutrition. 1997;13:349–358
  9. Diener JRC. Calorimetria indireta. Rev Ass Med Bras. 1997;43:245–253
  10. Auxiliadora-Martins M, Coletto FA, Campos AD, et al. Indirect calorimetry can be used to measure cardiac output in septic patients. Acta Cir Bras. 2008;23:118–125
  11. Brandi LS, Bertolini R, Santini L, et al. Effects of ventilator resetting on indirect calorimetry measurement in critically ill surgical patient. Crit Care Med. 1999;27:531–539
  12. Bloomfield R, Steel E, MacLennan G, Noble DW. Accuracy of weight and height estimation in an intensive care unit: implications for clinical practice and research. Crit Care Med. 2006;34(8):2153–2157
  13. Knaus WA, Draper EA, Wagner DP, et al. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13:818–829
  14. Smyrnios NA, Curley FJ, Shaker G. Accuracy of 30-minute indirect calorimetry studies in predicting 24-hour energy expenditure in mechanically ventilated, critically ill patients. JPEN J Parenter Enteral Nutr. 1997;21:168–174
  15. Ferrannini E. The theoretical bases of indirect calorimetry: a review. Metabolism. 1988;37:287–301
  16. Petros S, Engelmann L. Validity of an abbreviated indirect calorimetry protocol for measurement of resting energy expenditure in mechanically ventilated and spontaneously breathing critically ill patients. Intensive Care Med. 2001;27:1164–1168
  17. Kiiski R, Takala J, Eissa NT. Measurement of alveolar ventilation and changes in deadspace by indirect calorimetry during mechanical ventilation: a laboratory and clinical validation. Crit Care Med. 1991;19:1303–1309
  18. Hoher JA, Teixeira PJZ, Hertz F, et al. Comparison between ventilation modes: how does activity level affect energy expenditure estimates. JPEN J Parenter Enteral Nutr. 2008;32:176–183
  19. Guyton AC, Hall JE. Transporte de oxigênio e de dióxido de carbono no sangue e em outros líquidos corporais. In: Textbook of Medical Physiology W.B.. 9th ed. Saunders Company Philadelphia; 1996;p. 465–474
  20. Nunn JF. Elimination of carbon dioxide by the lung. Anesthesiology. 1960;21:620–633
  21. Martins MA, Coletto FA, Martins-Filho OA, et al. 13CO2 recovery fraction in expired air of septic patients under mechanical ventilation. Braz J Med Biol Res. 2008;41:563–570
  22. Tissot S, Delafosse B, Normand S, et al. Recovery of (13C)-bicarbonate as respiratory 13CO2 in mechanically ventilated patients. Am J Clin Nutr. 1993;57:202–206
  23. Takala J, Keinänen O, Väisänen P, et al. Measurement of gas exchange in intensive care: laboratory and clinical validation of a new device. Crit Care Med. 1989;17:1041–1047
  24. Rocha EEM, Alves VGF, Fonseca RBV. Indirect calorimetry: methodology, instruments and clinical application. Curr Opin Clin Nutr. 2006;9:247–256
  25. Kirkland L. Effects of ventilator resetting on indirect calorimetry measurement – the importance of patience. Crit Care Med. 1999;27:459–460
  26. Talpers SS, Romberger DJ, Bunce SB. Nutritionally associated increased carbon dioxide production. Chest. 1992;102:551–555
  27. Frayn KN. Calculation of substrate oxidation rates in vivo from gaseous exchange. J Appl Physiol. 1983;2:628–634
  28. Rocha EEM. A determinação do gasto energético em pacientes críticos. In:  Ferro HC,  Azevedo JRA,  Loss SH editor. Nutrição Parenteral e Enteral em UTI. CBM I Séries Clínicas Brasileiras de Medicina Intensiva. São Paulo: Atheneu; 2001;p. 1–23
  29. Holdy KE. Monitoring energy metabolism with indirect calorimetry: instruments, interpretation and clinical applications. Nutr Clin Pract. 2004;19:447–454
  30. Henneberg S, Söderberg D, Groth T. Carbon dioxide production during mechanical ventilation. Crit Care Med. 1987;15:8–13
  31. Weir JB. New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol. 1949;109:1–9
  32. Basile-Filho A, Martins MA, Batiston MT, et al. Gasto energetico em pacientes septicos: correlacao entre a calorimetria indireta e as equações preditivas derivadas a partir de dados hemodinamicos. RBTI. 2003;15:101–107
  33. Swinamer DL, Phang PT, Jones RL, et al. Twenty-four hour energy expenditure in critically ill patients. Crit Care Med. 1987;15:637–643

☆ Conflict of interest statement: All the authors have no conflict of interest to disclose.

PII: S0883-9441(09)00288-3

doi: 10.1016/j.jcrc.2009.11.010

Journal of Critical Care
Volume 25, Issue 4 , Pages 659.e9-659.e16 , December 2010

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