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.

 
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