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Reaching beyond traditional nutrition support The care of ICU patients has seen many improvements over the years, both with regard to technical aspects and supportive measures. The first part of this book analyzes nutritional support at various levels, ranging from the cell level to the whole-body aspect; drawing on recent prospective randomized studies, the authors propose a new approach for oral, enteral and/or parenteral nutrition. The second part underlines the interference between nutrition and outcome to reach recovery, giving to this field an increased importance for better short and long term management: The best glucose control, individualized nutritional support and the avoidance of harmful interferences is extensively discussed. The final part deals with patients suffering from multi-organ failure and the need for a better understanding of the interactions between disease and nutrition. Identification of the metabolic condition of the patient, existence or not of evidence-based medicine, expert opinion, treatment opportunities and the case manager recognizing threats are all integrated to reach the appropriate decision. This last part will help the reader to untangle the complexity of the ICU patient of the 21st century and to propose a personalized nutritional support process.
Provides comprehensive and practical guidance for managing the nutritional requirements of critically ill patients and thereby improving prognosis.
This book offers a pragmatic approach to day-to-day metabolic and nutritional care based on physiological considerations. Due to the numerous controversial trials published in the last 15 years, there is no clear guidance for intensive care physicians regarding the metabolic and nutritional management of patients. This has resulted in a return to underfeeding and related complications in most ICUs worldwide as shown by the latest Nutrition Day data. Using a structured, logical approach, the book examines practical solutions for artificial feeding in complex areas of critical care (brain injuries, burns, cardiac failure, ECMO, intestinal failure, long term patient, renal failure, metabolic diseases, obesity, old patients) and discusses measurement of the results of metabolic interventions. It also includes dedicated chapters focusing on specific problems, in order to avoid complications. Critical Care Nutrition Therapy for Non-nutritionists is a valuable resource for all general ICUs and ICU subspecialties such as cardiovascular, neuro, gastrointestinal and burns ICUs.
Understand the unique nutritional needs of infants and children in the pediatric critical care unit Written with the goal of shortening recovery time and improving overall clinical outcomes, Pediatric Critical Care Nutrition is the first text to offercomprehensive, in-depth coverage of the nutritional needs of infants and children in the pediatric care unit. This practical text imparts basic concepts, critically appraises the literature, and provides a completereview of the key principles of pediatric critical care nutrition. Combining clinical strategies with a compilation of available evidence, Pediatric Critical Care Nutrition, covers essential topics such as: Metabolic alterations and nutrients in the critically ill child Delivery of nutrition support to the critically ill child Disease-related nutrition considerations including burns and wound healing, solid-organ transplantation, renal and pulmonary failure, gastrointestinal issues, cancer, obesity, and more Practical aspects of the delivery of nutrition support Optimum nutrition therapy is essential during the entire continuum of critical illness until recovery, and requires the multidisciplinary awareness, knowledge, and effort taught in this groundbreaking text.
Surviving critical illness is not always the happy ending that we imagine for patients. Intensive care unit (ICU) teams have traditionally focused on short term goals such as stabilizing or reversing organ system dysfunction, with little understanding of what became of patients once they left the ICU. However, research conducted in recent years has demonstrated that many ICU survivors can suffer from ill health and mental health issues for months or years to follow. The Textbook of Post-ICU Medicine: The Legacy of Critical Care identifies the long term outcomes of ICU and the steps that can be taken to improve patients' health and wellbeing. Describing the major clinical syndromes affecting ICU survivors, the book delineates established or postulated biological mechanisms of the post-acute recovery process, and discusses strategies for treatment and rehabilitation to promote recovery in the ICU and in the long term. The book serves as a unique reference for general practitioners, internists and nurses caring for long term ICU survivors as well as specialists in intensive care medicine, neurology, psychiatry, and rehabilitation medicine.
Nutrition Support for the Critically Ill Patient: A Guide to Practice provides state-of-the-art practices and key principles of nutrition support through evidence-based medicine. Following a review of the metabolic alterations that occur during critical illness, this book discusses the nutrient requirements of critically ill patients as well
Malnutrition and obesity are both common among Americans over age 65. There are also a host of other medical conditions from which older people and other Medicare beneficiaries suffer that could be improved with appropriate nutritional intervention. Despite that, access to a nutrition professional is very limited. Do nutrition services benefit older people in terms of morbidity, mortality, or quality of life? Which health professionals are best qualified to provide such services? What would be the cost to Medicare of such services? Would the cost be offset by reduced illness in this population? This book addresses these questions, provides recommendations for nutrition services for the elderly, and considers how the coverage policy should be approached and practiced. The book discusses the role of nutrition therapy in the management of a number of diseases. It also examines what the elderly receive in the way of nutrition services along the continuum of care settings and addresses the areas of expertise needed by health professionals to provide appropriate nutrition services and therapy.
Deals with nutritional support of critically ill patients. Discusses nutritional assessment, fuel metabolism, and macronutrient (protein, fat, carbohydrate, nucleic acid, mineral) and micronutrient (vitamins, trace element) metabolism. Discusses the route and timing of nutritional support, enteral feeding, parenteral nutrition, wound healing, inflammatory mediators, immunity, the gut barrier, bacterial translocation, and use of growth factors. Also discusses nutritional support of common disease states treated in critical care units, such as trauma, neuroinjury, sepsis, burns, gastrointestinal disease, respiratory and heart failure, renal failure, liver failure, AIDS, and diabetes mellitus.
Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance for the management of critically ill patients with acute renal failure, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice.