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Pranav Bansal¹, Saru Singh¹, Pallavi Ahluwalia ², Tahir M. Akbar³

 ¹Associate Professor, BPS Govt. Medical College, Khanpur Kalan, Sonipat, Haryana, (India) 

²Associate Professor, Teerthanker Mahaveer Medical College, Moradabad, U.P, (India)

³Anaesthetist and Pain Physician, Tawam Hospital (Johns Hopkins), Al Ain, (UAE)

 A 57 year old, female patient with weight 50 kg, height 152 cm, sustains severe injuries in a road traffic accident and is brought in emergency department of a hospital in an unconscious state. She suffers from multiple rib fractures with fracture right femur and fracture pelvis. CT scan of head revealed cerebral contusions involving frontal and parietal lobe. Patient is immediately shifted to ICU, intubated, kept on ventilatory support and central venous catheter is inserted. She is sedated with a continuous infusion of propofol @ 5 ml/hr and her current hemodynamic status is satisfactory.

[WpProQuiz 5]

REFERENCES

1. Enteral Nutrition. Ch 46 The ICU book, Paul Marino 3^rd. Lippincott Williams & Wilkins, South East Asian Edition.
2. Nutrition, Ch. 16. Massachusetts General Hospital Review of Critical Care medicine. Sheri M Berg, Edward A Bittner 2014. Lippincott Williams and Wilkins, PA USA
3. Chapter 190: Nutritional Therapy in the Critically Ill Patient 1969. Dominic J. Nompleggi. Irwin And Rippe’s Intensive Care Medicine 7^th 2012 Lippincott Williams and Wilkins, PA USA.