Protein and amino acid metabolism after severe cerebral trauma

✍ Scribed by J. Piek; C. B. Lumenta; W. J. Bock

• Book ID: 104696173
• Publisher: Springer
• Year: 1985
• Tongue: English
• Weight: 510 KB
• Volume: 11
• Category: Article
• ISSN: 1432-1238
• DOI: 10.1007/bf00272402

✦ Synopsis

Fourteen patients (20-48 years) suffering from severe head injury were followed for changes in amino acid and protein metabolism during the first 8 days after trauma. All patients received a standardized intravenous nutrition containing 15.7 g of nitrogen per day and additional carbohydrates. Electrolytes, free water, and blood constituents were given as needed. Additional treatment included surgical decompression of space-occupying hematomas, high dose dexamethasone therapy, and controlled hyperventilation for at least 5 days. Gross changes of protein metabolism were observed particularly on the days 5 and 6. The duration and chronological sequence of these changes are different from those usually found in patients with multiple injuries.