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Critically ill and critically injured patients require specialized nutrition support to avoid the complications of progressive malnutrition. There is a paucity of information providing practical solutions to these difficult clinical problems. From Nutrition Support to Pharmacologic Nutrition in the ICU focuses on the theoretical and practical aspects of the management of this high-risk patient population. Each chapter presents a state-of-the-art discussion of nutritional and metabolic issues relevant to this resource-intensive patient population and contains current references, liberal tables and figures, and the personal insights of recognized international leaders in this field.
Content.- Nutrition-Related Outcome in Critical Care.- Host Defenses and Bacterial Assaults: A Delicate Balance.- From Structure to Function: What Should Be Known About Building Blocks of Protein.- Fatty Acids, Lipoproteins, and Lipid Emulsions.- Carbohydrate and Fat as Energetic Fuels in Intensive Care Unit Patients.- Trace Elements and Vitamins.- Antioxidants in Critical Illness.- Strategies for Motility and Dysmotility in Nutrition Support.- Enteral Versus Parenteral Feeding in Critical Illness.- The Value of Organized Nutritional Support Service in Intensive Care Unit Care.- Obtaining and Maintaining Access for Nutrition Support.- Formulation of Parenteral and Enteral Admixtures.- Drug-Nutrient Interactions in the Critically Ill.- A Practical Approach to Feeding Intensive Care Patients.- Nutritional Assessment of Intensive Care Unit Patients.- Monitoring Nutritional Support in the Intensive Care Unit.- Nutritional Effects on Respiratory and Muscle Dysfunction in Intensive Care Unit Patients.- Perioperative Nutrition.- Perioperative Nutrition in Elective Surgery.- Nutrition Support in Blunt and Penetrating Torso Trauma.- Nutritional Support in Neurologic Injury.- Nutritional Support of the Severely Burned Patient.- Liver Function: Alteration and Insufficiency.- Nutritional Support in Acute Respiratory Failure.- Nutrition Support in Pancreatitis.- Nutrition Support of Critically Ill Obese Patients.- Hyperglycemia and Blood Sugar Management: Implications for Infection.- Nutrition Support of the Septic Patient.- Nutrition Support Guidelines for Therapeutically Immunosuppressed Patients.- Enteral Immunonutrition in the Intensive Care Unit: A Critical Approach.- Effects of Route and Dose of Immunonutrition Compounds.- Stress-Related Catabolism: Countermeasures.- New Nitrogen-Containing Substrates in Artificial Nutrition.- Merging Evidence-based Medicine and Nutrition Support Practice for Critically Ill Patients: The (Mis)interpretation of Randomized Trials and Meta-Analyses.