Abstract

pelvis, neck of femur and femoral shaft; and a large area of fat necrosis. Methods: Resting energy expenditure was measured (REEmeas) whilst the child was ventilated on days three and five post injury, using the Deltatrac II™ metabolic monitor (Datex, Finland). Following extubation, measurements were conducted using the same metabolic monitor with a ventilated hood, on days outlined in table 1. Resting energy expenditure was predicted (REEpred) using the White (2000) equation 1 whilst the child was ventilated and using the Schofield (1985) weight only equation 2 whilst breathing spontaneously. TEE was measured over a 14 day period following extubation (days eight to 22), using the doubly labelled water technique. 3 Results: Results for REEmeas and REEpred are included in table 1. The mean ( sd) of REEmeas whilst the child was not ventilated was 972 111kcal/day with a coefficient of variation (CV) of 11%. TEE for the two weeks following extubation was 1801kcal/day (1.60 x REEmeas (day 9)).

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