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Nutrition
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TBI is a/w ↑ energy expenditure early after injury
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Recommendations:
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Feed pts to attain basal caloric replacement @ least by the 5th day & @ most by the 7th day (↓ mortality)
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Transgastric jejunal feeding (↓ VAP)
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Insufficient evidence to make recommendations on glycemic control & vitamins/supplements
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Adapted from Guidelines for the Management of Severe TBI, 4th Ed., September 2016, Brain Trauma Foundation.
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