Anesthesia Considerations 

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    Nutrition

     

    • TBI is a/w ↑ energy expenditure early after injury

    • Recommendations:

      • Feed pts to attain basal caloric replacement @ least by the 5th day & @ most by the 7th day (↓ mortality)

      • Transgastric jejunal feeding (↓ VAP)

      • Insufficient evidence to make recommendations on glycemic control & vitamins/supplements

     

     

    Adapted from Guidelines for the Management of Severe TBI, 4th Ed., September 2016, Brain Trauma Foundation.