Q-NRG+ Metabolic Monitor
Q-NRG+ is the next generation of indirect calorimetry (IC), enabling fast, accurate and intuitive resting energy expenditure (REE) measurements.

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Overview
Designed by Clinicians for Clinicians
Q-NRG+ is a standalone indirect calorimeter for measuring REE in both ventilated and spontaneously breathing patients. Q-NRG+ was designed with the International Multicentric Study for Indirect Calorimetry (ICALIC).6
The goal: develop a new IC device that addresses barriers according to the needs of the clinician.
The conclusion: ICALIC partnered with industry experts to design the next-generation IC technology that is accurate, reliable and easy to use.6
Indications for Use
The Q-NRG+ Portable Metabolic Monitor is indicated for the measurement of resting energy expenditure (REE) for spontaneously breathing and ventilated patients, within the following populations:
- Spontaneously breathing subjects >33 lbs. (15 kg) when using a canopy
- Spontaneously breathing subjects age >6 years and > 22 lbs.(10 kg) when using a face mask
- Ventilated subjects age >10 years and >22 lbs. (10 kg).
The Q-NRG+ Portable Metabolic Monitor is intended to be used in professional healthcare facilities only (limited to ICUs for ventilated patients). Please read the accompanying full Indication(s) and Safety Information for Q-NRG+.

Measure Accurately
Identify Personalized Nutritional Needs
- Energy needs in critically ill patients are dynamic.1
- Predictive equations are inaccurate up to 50% of the time.2
- ASPEN Guidelines recommend using IC to accurately measure REE.3
- Maximizing protein while meeting calorie targets, guided by IC, can be important to critically ill patients.4
Why estimate when you can measure?

Q-NRG+: Next Generation IC Technology
helping to identify personal nutritional needs

Fast
~10-15 minutes to run test (including warm-up time) and minimal calibration5

Accurate
REE within +/- 3% or 36 kcal/day, whichever is greater5

Intuitive
Real-time, user-friendly dashboard. Portable and can be used on ventilated and spontaneously breathing patients5
What's Your Number?
To learn more about how fast, accurate and intuitive Q-NRG+ is, contact your Baxter Nutrition Sales Specialist, who can provide more detailed information.
Please read the accompanying full Indication(s) and Safety Information for Q-NRG+.

Features
Q-NRG+ Sample Report
Simple and Intuitive User Interface

Abbreviations: REE – Resting Energy Expenditure; Predicted Set – Compared to a selected predictive equation; VO2 – Oxygen Consumed; VCO2 – Carbon Dioxide Produced; RQ – Respiratory Quotient (VCO2/VO2); Vt – Tidal Volume; Rf – Respiratory Frequency; FiO2 – Fraction of Inspired Oxygen; CHO – Carbohydrates; PRO – Protein; AVG - Average; EE - Energy Expenditure, npRQ - non-protein respiratory quotient; mL/min - Milliliter/minute; min - minute
Order & Support
Learn More About Q-NRG+ Metabolic Monitor
Ordering and Support Information for Q-NRG+ Metabolic Monitor
Get additional ordering, customer, technical, and medical support information for Q-NRG+ Metabolic Monitor by contacting Baxter using the links below.

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Resources
Explore Baxter's Programs
Baxter’s commitment to advancing clinical nutrition extends beyond offering innovative products. Baxter also provides programs and tools to its clinicians, hospital partners and compounding pharmacies that improve care and pharmacy efficiency.
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In this roundtable discussion, Canadian and U.S.-based faculty discuss diagnostic criteria for malnutrition, available and emerging lipid emulsion products and their influence on inflammation and ensuring adequate protein delivery for optimal nutrition support.
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Other Information
Q-NRG+ Metabolic Monitor Indications for Use
The Q-NRG+ portable Metabolic Monitors are indicated for the measurement of Resting Energy Expenditure (REE) for spontaneously breathing and ventilated patients, within the following populations:
- Spontaneously breathing subjects > 33 lbs. (15 kg) when using a canopy
- Spontaneously breathing subjects age >six years and > 22 lbs. (10 kg) when using a face mask
- Ventilated subjects age >10 years and >22 lbs. (10 kg).
The Q-NRG+ Portable Metabolic Monitors are intended to be used in professional healthcare facilities only.
Warnings
This device measures clinical parameters used to aid diagnosis and it is intended only as an adjunct device in patient assessment. In case of disturbing conditions, the shutdown is allowed because the safety of the device towards patients and operators is not affected, since the final evaluation is performed on the outcome data measured during a complete test. No modification of this device is allowed.
Precautions/Contraindications
Carefully re-check ventilator functionality after connection of the parts. Make sure that the patients cuff pressure is high enough to avoid air leakage. Manipulation of the ventilator circuit may cause leaks that may lower alveolar ventilation. For more information please refer to User’s Manual.
Disclaimers
Rx only. For safe and proper use of product mentioned herein, please refer to the Instructions for Use or Operator Manual.
Baxter, Clinimix, Clinolipid, ExactaMix and Q-NRG+ are trademarks of Baxter International Inc. or its subsidiaries.
Infuvite is a registered trademark of Sandoz Canada Inc.
Any other trademarks, product names or brand images are the property of their respective owners.
References
- Rattanachaiwong S, et al. Indirect calorimetry as point of care testing. Clin Nutr 2018;38(6):2531-2544.
- Zusman O, et al. Predictive equations versus measured energy expenditure by indirect calorimetry: A retrospective validation. ClinNutr. 2019;38(3):1206-1210.
- McClave SA, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN 2016;40:159-211.
- Zusman O, et al. Resting energy expenditure, calorie and protein consumption in critically ill patients: a retrospective cohort study. Critical Care 2016;20:367.
- Q-NRG+ Metabolic Monitor User Manual Edition 7.0 (01/2025).
- Oshima T, et al. Clin Nutr 2017;36:651-662.


