TY - CHAP M1 - Book, Section TI - Nutritional Supplementation in Pediatric Surgery A1 - Chwals, Walter J. A2 - Ziegler, Moritz M. A2 - Azizkhan, Richard G. A2 - Allmen, Daniel von A2 - Weber, Thomas R. PY - 2014 T2 - Operative Pediatric Surgery, 2e AB - Although optimal growth of the neonate can be insured with a caloric intake from 100 to 150 kcal/kg/D, during acute metabolic stress (injury) states, characterized by increased C-reactive protein and decreased prealbumin serum concentrations, daily energy repletion should be based on either measured energy expenditure values or basal metabolic rate.The metabolic rate increases 10% to 13% per degree centigrade elevation and 7.2% per degree Fahrenheit elevation.The nutritional caloric regimen for the metabolic impact of acute injury in infants does not require the replacement of calories allotted for growth.Glycemic control during the resuscitative and stabilization phase of acute illness may provide a favorable impact on patient morbidity and mortality.Indirect calorimetry is a useful energy assessment tool. During critical illness, changes in daily energy repletion are dependent on the magnitude and duration of the acute metabolic stress response, but do not include energy required for growth, insensible losses, or activity.Both enteral and parenteral nutrition are effective in reducing the hypermetabolic response to injury as well as reducing protein catabolism. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/03 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1100431401 ER -