PATRICK J. KEARNS, M.D.; A. BANUELOS, M.D.
To the editor: We write to clarify a potential misunderstanding that could result from the provocative short paper by Covelli and associates (1) on hypercapnia in hyperalimentation.
The authors intimate that the increase in CO2 production (VCO2) and consequent increase in arterial PCO2 were due to an increase in carbohydrate calories supplied by total parenteral nutrition. This suggestion may lead the reader to assume that the finding is an unusual and unexpected consequence and would not be expected with a simple increases in caloric intake (oral, enteral, or parenteral). As more medical centers become capable of measuring VO2, it will
KEARNS PJ, BANUELOS A. Hypercapnia in Hyperalimentation. Ann Intern Med. ;96:786–787. doi: 10.7326/0003-4819-96-6-786_2
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Published: Ann Intern Med. 1982;96(6_part_1):786-787.
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