Metabolic Support of the Critically Ill Patient

1. Front Matter

   Pages I-XIV

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2. Monitoring Compositional Changes and Biochemical Functions

   1. Front Matter

      Pages 1-1

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   2. Measuring Body Composition in Intensive Care Patients

      • G. L. Hill, D. Monk, L. D. Plank

      Pages 3-18

   3. Applications of Magnetic Resonance Spectroscopy to Nutrition and Metabolism

      • D. O. Jacobs, M. K. Robinson

      Pages 19-45

   4. Muscle Function and Energetics

      • K. N. Jeejeebhoy

      Pages 46-62

   5. Muscle Intracellular Ions during Malnutrition and Refeeding

      • C. Pichard, D. Slosman, A. G. Dulloo

      Pages 63-79

   6. Estimation of Peroxidative Damage

      • H. Esterbauer

      Pages 80-91

3. What Type of Metabolic Support?

   1. Front Matter

      Pages 93-93

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   2. Does Indirect Calorimetry Reflect Energy Expenditure in the Critically Ill Patient?

      • R. L. Chioléro, D. Bracco, J. P. Revelly

      Pages 95-118

   3. Are We Giving Unbalanced Amino Acid Solutions?

      • P. Fürst, P. Stehle

      Pages 119-136

   4. Anabolic Drive in Critically Ill Patients: Pros and Cons a Prevailing Glucose System

      • G. Iapichino, D. Radrizzani

      Pages 137-156

   5. Are Present Fat Emulsions Appropriate?

      • Y. A. Carpentier

      Pages 157-171

4. Organ Specific Nutrients and Associated Therapy

   1. Front Matter

      Pages 173-173

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   2. Effects of Enteral Nutrients on the Critically Ill Gut

      • J. I. Lew, J. L. Rombeau

      Pages 175-197

   3. Nutrition of some Cells of the Immune System and its Importance in the Response to Trauma

      • E. A. Newsholme

      Pages 198-214

   4. The Impact of Nutrition on Muscle Tissue in Critical Illness

      • J. Wernerman, P. Garlick, E. Vinnars

      Pages 215-235

   5. Enhancing Wound Healing in Severely Burned Patients

      • D. A. Gilpin, M. J. Muller, D. N. Herndon

      Pages 236-251

   6. Organ Specific Nutrients and Associated Therapy: Growth Factors - Growth Hormone

      • L. S. Young, T. A. Byrne, D. W. Wilmore

      Pages 252-264

5. Preventing Complications

   1. Front Matter

      Pages 265-265

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   2. Parenteral versus Enteral Nutrition

      • G. P. Zaloga

      Pages 267-293

Nutritional support of critically ill patients is a major treatment modality which will enhance recovery and shorten convalescence. New knowledge has emphasized that much of the organ dysfunction associated with sepsis and altered blood flow is related to oxidative injury. Specific nutrients are highly effective in counteracting these effects and their early administration may attenuate cellular damage and multi-organ failure. Patient outcome may also be enhanced by the route of feeding, administration of newer nutrient combinations, utilization of evolving methods of monitoring and the use of growth factors. This new knowledge has evolved to a new area of metabolic support which is addressed for the first time by a group of international experts. The topics presented and general conclusions are of major importance to the practitioners in this field, for they show, for the first time, a departure from the more traditional approaches of nutritional support in patients with life-threatening diseases.

• Biochemical functions
• Biochemische Funktionen
• Critically Ill Patient
• Interaktion Erkrankung/Nährstoff
• Komplikationen
• Sepsis
• complications
• disease/nutrients interactions
• nutrition
• organ specific nutrients
• organspezifische Nährstoffe

• Laboratory for Surgical Metabolism, Brigham and Women’s Hospital, Boston, USA

  Douglas W. Wilmore

• L. Deloyers Laboratory for Experimental Surgery, Free University of Brussels, Brussels, Belgium

  Yvon A. Carpentier

Policies and ethics