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. 1985;11(4):192-8.
doi: 10.1007/BF00272402.

Protein and amino acid metabolism after severe cerebral trauma

J Piek, C B Lumenta, W J Bock

Protein and amino acid metabolism after severe cerebral trauma

J Piek et al. Intensive Care Med. 1985.

Abstract

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.

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