Perioperative medicine & outcomes
Energy Expenditure Under General Anesthesia: An Observational Study Using Indirect Calorimetry in Patients Having Noncardiac Surgery
Authors' conclusion
Median energy expenditure under general anesthesia is about one-quarter lower than preoperative awake resting energy expenditure in patients having noncardiac surgery.
Study context
- Population
- Patients having elective noncardiac surgery, University Medical Center Hamburg-Eppendorf (Germany), September 2019–March 2020analysed
- Participants
- 60 patients
- Exposure
- EE under GA at incision vs preoperative awake resting EE
- Outcome
- Energy expenditure under GA vs preoperative awake resting energy expenditure (indirect calorimetry)
- Follow-up
- At incision
Methodological detailssingle-centre, paired measurements
- Single-centre
- Paired measurements
Main finding
As reported in the abstract
Energy expenditure
Difference (lower)
263 kcal d −1 m −2
95% CI 223–307P < 0.001
GA
Relative difference (lower)
27%
95% CI 23%–30%P < 0.001
GA
Observational data: associations, not effects.
Original publication
Energy Expenditure Under General Anesthesia: An Observational Study Using Indirect Calorimetry in Patients Having Noncardiac Surgery. Anesth Analg. Published 16 June 2023. doi:10. 1213/ ane. 0000000000006343
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