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.