POSTOPERATIVE
RESTING ENERGY EXPENDITURE IN SURGICAL NEONATES
Cai W, Wu WG
Xinhua Hospital,
Shanghai, China
Objective: To characterize energy
expenditure in neonate following an uncomplicated abdominal operation.
Methods: In 30 neonates, Resting
energy expenditure (REE) were measured both preoperatively and continuously
7 days postoperatively.
Results: The mean preoperative
REE was 43.7 + 6.27Kcal/Kg/d, the mean postoperative REE values of
43.6 + 6.34; 45 + 5.82; 44.4 + 7.73; 44.2 +
6.62; 44.9 + 8.1; 45.8 +7.76; 50.1 + 8.5 Kcal/Kg/d on
1,2,3,4,5,6,7th day respectively. There was no significant
increasement compare with the preoperative REE (except for the 7th
day). The REE of 7th day postoperatively was significantly
higher than the basal value preoperatively. There was no significant
different from oxygen consumption, carbon dioxide production and
respiratory quotient between the preoperative and postoperative groups.
Conclusion: Uncomplicated operation
did not increase REE 24 hours postoperatively in the neonate.