Reasons for alteration in energy requirements

Increased energy requirements	Decreased energy requirements
Trauma	Immobility
Surgery	Mechanical ventilation
Sepsis	Extracorporeal membrane oxygenation (ECMO)
Burns	Medical sedation/paralysis
Tumors
Seizures
Hypertonia
Spinal cord injury

Reproduced with permission from: Pediatric Parenteral Nutrition, Baker RD, Baker SS, Davis AM (Eds), Aspen Publishers, Inc, Gaithersburg 2001. Copyright © 2001 Robert D Baker, MD, PhD; Susan S Baker, MD, PhD; and Anne M Davis, RD, CNSD.

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Reasons for alteration in energy requirements