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Nutrition in Clinical Practice
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Techniques and Procedures

Monitoring Energy Metabolism with Indirect Calorimetry: Instruments, Interpretation, and Clinical Application

Kalman E. Holdy, MD

Nutrition and Metabolic Support Service, Sharp Memorial Hospital, San Diego, California

Correspondence: Correspondence: Kalman E. Holdy, MD, 7920 First Street, Suite 101, San Diego, CA 92123. Electronic mail may be sent to kalman.holdy{at}sharp.com.

Indirect calorimetry is the best measure to guide calorie administration during nutrition support. This article presents an update of the types of currently available indirect calorimeters and reviews the recent advances that guide the clinical application of indirect calorimetry. The emphasis of this report is placed on issues that the practicing clinician can use to evaluate, interpret, and apply measurements of energy expenditure.

Nutrition in Clinical Practice, Vol. 19, No. 5, 447-454 (2004)
DOI: 10.1177/0115426504019005447
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