caa a22 4500 47580208X CHVBK 20180406123740.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s002680010268 doi (NATIONALLICENCE)springer-10.1007/s002680010268 Perioperative Nutrition and Metabolism in Pediatric Patients [Elektronische Daten] [Kenji Imura, Akira Okada] A developing child, with a high metabolic rate and low body stores of nutrients, is susceptible to metabolic disturbances due to surgical stress. For perioperative nutritional care of infants, the distinct physiologic features of their body fluids must be carefully considered. The postoperative metabolic response is the same as that in adults, but in children this response is more rapid. Based on the urinary excretion of 3-methylhistidine in infants, the postoperative degradation of muscle protein is thought to be twice the preoperative level. This transient increase during the early postoperative period was not suppressed by increased amino acid intake, and energy intake was sufficient. To prevent postoperative metabolic complications, the energy intake of glucose or fat should correspond to the patient—s requirements, and excess carbohydrate should be avoided. The quantity and quality of the amino acid formula used must be carefully evaluated. Société Internationale de Chirurgie, 2000 Imura Kenji aut Okada Akira aut World Journal of Surgery Springer-Verlag 24/12(2000-12-01), 1498-1502 0364-2313 24:12<1498 2000 24 268 https://doi.org/10.1007/s002680010268 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002680010268 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Imura Kenji aut NATIONALLICENCE 700 1- Okada Akira aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/12(2000-12-01), 1498-1502 0364-2313 24:12<1498 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer