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Journal of the American Osteopathic Association, Vol 89, Issue 1, 43-43
Copyright © 1989 by American Osteopathic Association

Articles

Comparison of three methods of determining oxygen consumption and resting energy expenditure

BJ Walsh and TF Morley

Resting energy expenditure (REE) in intensive care unit patients was evaluated by three methods--indirect calorimetry (REE-IC), Fick equation (REE-F), and estimation from the Harris-Benedict equation (REE-HB). The mean REE-IC and REE-F values did not differ significantly. However, both values were significantly higher than the REE-HB. The present study indicates that a reasonably accurate estimate of the REE can be obtained from data available by Swan-Ganz catheterization. The Fick method is technically simpler to perform and less expensive than indirect calorimetry. The invasive nature of Swan-Ganz catheterization is a major disadvantage. However, right-sided heart catheterization frequently is required for the management of intensive care unit patients. For them, REE-F appears to be a reasonable alternative.





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Copyright © 1989 by the American Osteopathic Association.