Energy Expenditure in 104 Postoperative and Traumatically Injured Dogs with Indirect Calorimetry

Apparent restihg energy expenditure (AREE) and respiratory quotient (RQ) were determined by open flow indirect calorimetry in a group of 104 apparently resting, critically ill, postoperative and severely traumatized dogs. The evaluations were conducted in a calm, temperature-controlled environment after at least a 12-hour fast. Subjects were allowed to acclimilate to the monitoring equipment prior to beginning the study. The clinical patients were compared to a group of 20 clinically normal, apparently resting, client owned dogs (NC). The data was also compared to published normals (NP) for energy expenditure of apparently resting dogs. Measurements were indexed to actual body weight in kilograms (BW) as well as to metabolic body size(BW^0.75). Measurements of VO₂ (VO₂/kg and VO₂/kg^0.75) and VCO₂ (VCO₂/kg and VCO₂/kg^0.75) were used to calculate the RQ and the AREE. Critically ill, postperative and severely lower RQ values AREE/kg or AREE/kg^0.75 (p=0.39). The PO&T dogs did exhibit significantly lower RQ values (p<0.0001) than either the (NC) or (NP) groups. Measured AREE of the PO&T dogs was significantly less than a calcualted value using the illness/injury/infection energy requirement (IER), (p<0.0001). Energy expenditure in typical trauma and postoperative patients may commonly be overstimated by the IER method. Conclusion: The AREE of critically ill, postoperative and severly trumatized dogs was not higher than healthy dogs as has been previously suggested in the literature.