Overview

The critically ill patient in intensive care often has to face significant metabolic alterations caused directly by the illness or secondary by complications (i.e.infections, organ failure or sepsis). Situations of rapidly evolving altered metabolism are maintained by or can trigger complex hormonal reactions which in turn promote further metabolic derangements. Surgery or trauma patients and those afflicted by septic complications can present significant nitrogen loss with consequent altered protein, carbohydrate or lipid metabolism. Further knowledge regarding the pathophysiology of metabolism and how abnormal stimulation of pyhsiological mechanisms can alter the consumption of principal energy substrates is necessary for optimal care of patients with altered metabolic functions.

Full Product Details

Author:   G. Guarnieri ,  F. Iscra
Publisher:   Springer Verlag
Imprint:   Springer Verlag
Edition:   1999 ed.
Dimensions:   Width: 15.50cm , Height: 1.30cm , Length: 23.50cm
Weight:   0.460kg
ISBN:  

9788847000421

ISBN 10:   8847000424
Pages:   237
Publication Date:   01 February 1999
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Manufactured on demand  
We will order this item for you from a manufactured on demand supplier.

Table of Contents

Basics and methods.- 1 - Substrate metabolism in critical illness.- 2 - Measurement of the body composition.- 3 - Energy and ATP: Costs and benefits.- 4 - Indirect calorimetry in the critically ill: Theoretical aspects and practical problems.- Local and systemic effects on metabolism.- 5 - Hormonal response of the hypothalamo-pituitary-adrenal axis in injury.- 6 - Sympathetic nervous system and metabolism.- 7 - Regional and systemic metabolic effects after surgical injury.- 8 - What about metabolism and the glutathione system?.- 9 - Carbohydrate and insulin activity in critically ill patients.- 10 - Muscle catabolism, amino acid flux and protein turnover in injury.- Tpn vs ent nutrition - cost and benefits.- 11 - Total parenteral nutrition vs total enteral nutrition in critically ill patients: Costs and benefits.- New strategies on metabolism and nutrition.- 12 - Hormone and growth factors in intensive care patients: Anabolic strategy or utopia?.- 13 - Which metabolic strategies in the early phase of injury?.- 14 - Effects of artificial nutrition on the immune system cells.- 15 - Selective antioxidants and early artificial nutrition as prevention of multiple organ failure.- 16 - Pharmacological nutrition in ICU patients.- Nutrition - steps for the future.- 17 - Metabolism and nutrition in the critically ill: Steps for the future.- Gut and nutrition.- 18 - The gut in healthy conditions.- 19 - The gut in local and systemic disease.- 20 - Bacterial translocation.- 21 - Gut and nutrients.- Old dilemma or new strategies.- 22 - Parenteral vs enteral nutrition.- Main symbols.

Reviews

Author Information

Tab Content 6

Author Website:  

Customer Reviews

Recent Reviews

No review item found!

Add your own review!

Countries Available

All regions