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Print version ISSN 0004-282X
Arq. Neuro-Psiquiatr. vol.50 no.2 São Paulo June 1992
Enteral feeding in acute head injury: replacement or therapy?
Arthur SchelpI; Angela PellizonII; Roberto BuriniIII
IMédico, Aluno do Curso de Pós-Graduação em Patologia, Universidade Estadual Paulista (UNESP), Faculdade de Medicina, Botucatu
IINutricionista, Diretora do Serviço de Nutrição e Dietética, Hospital das Clínicas, UNESP
IIIProfessor Titular, Departamento de Clínica Médica, UNESP, Faculdade de Medicina, Botucatu
Os autores apresentam revisão geral sobre a fisiopatogenia do trauma, ressaltando os estados de hipereatabolismo e hipermetabolismo, suas consequências nutricionais, com as particularidades do trauma encefálico. São feitas, também, considerações sobre as vias, composição e volumes das dietas enterais a serem administradas a pacientes com trauma agudo encefálico, assim como são apontadas questões a serem melhor elucidadas.
Palavras chave: trauma crânio-encefálico, metabolismo, alimentação oral.
The authors raise a discussion on nutritional needs of severely traumatized patients under the currently knowledges about the pathophysiology of trauma, particularly in head injury patients. Special attention to the hypermetabolic and hypercatabolic states is given. Some considerations about dietary glucose and protein interactions are made. Finally, the authors expose the diet composition currently used in their institution. Routes and volumes for diet administration are commented. Questions about further studies in some areas of this field are also stated.
Key words: head injury, metabolism, enteral feeding.
Texto completo disponível apenas em PDF.
Full text available only in PDF format.
Agradecimento Os autores agradecem ao secretário Francisco José Burzaca, pelo meticuloso auxílio na montagem e apresentação do estudo.
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Dr. Arthur Oscar Schelp UNESP, Rubião Júnior - Caixa Postal 568 - 18610 Botucatu SP -Brasil.