Anesthesia Considerations 

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.