Delsoglio Marta, Achamrah Najate, Berger Mette M, Pichard Claude
Clinical Nutrition, Geneva University Hospital (HUG), 1205 Geneva, Switzerland.
Nutrition Department, Rouen University Hospital Center, 76000 Rouen, France.
J Clin Med. 2019 Sep 5;8(9):1387. doi: 10.3390/jcm8091387.
Indirect calorimetry (IC) is considered as the gold standard to determine energy expenditure, by measuring pulmonary gas exchanges. It is a non-invasive technique that allows clinicians to personalize the prescription of nutrition support to the metabolic needs and promote a better clinical outcome. Recent technical developments allow accurate and easy IC measurements in spontaneously breathing patients as well as in those on mechanical ventilation. The implementation of IC in clinical routine should be promoted in order to optimize the cost-benefit balance of nutrition therapy. This review aims at summarizing the latest innovations of IC as well as the clinical indications, benefits, and limitations.
间接测热法（IC）通过测量肺气体交换被认为是确定能量消耗的金标准。它是一种非侵入性技术，可让临床医生根据代谢需求个性化营养支持处方，并促进更好的临床结果。最近的技术发展使在自主呼吸患者以及机械通气患者中进行准确且简便的IC测量成为可能。应促进IC在临床常规中的应用，以优化营养治疗的成本效益平衡。本综述旨在总结IC的最新创新以及临床适应症、益处和局限性。
