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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.
A complete state-of-the-art manual on nutritional support for ICU patients, the present book, written by internationally renowned specialists, addresses fundamental aspects of the pathophysiological response to injury as well as practical issues of nutritional care. New features include an analysis of gene polymorphism and its possible consequences for the survival of traumatized patients. A better understanding of this process could become a basis for defining new nutritional strategies. Hence the discussion on indications for immune-enhancing diets. Of special interest is the research on copathologies (i.e. obesity) which can change the prognosis of ICU patients who thus require specific nutritional support. Entirely new is the merging of the recommendations of international and national societies (e.g. ASPEN, ESPEN), first realized for this publication. This book is a basic tool for any professional in the field of nutritional care for ICU patients: intensivists, surgeons, pharmacists, dieticians, and PhD students.
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 o...
This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, provides detailed up-to-date information on the care of the critical ill very old (≥80 years) patients in the ICU. The very old are expanding fast in our populations, and this is mirrored in our hospitals and ICUs as well. During the last decade, a lot more information about the group of critical ill elderly has been published, and several large networks cooperate in performing multinational studies in this field, one of them with roots in the ESICM. This book will give readers knowledge about the current epidemiology of elderly ICU patients, in patients centered outcomes and factors affecting these...
No longer merely a subspecialty, pediatric anesthesia is now a professional entity in its own right, as is amply demonstrated in this comprehensive addition to the medical and surgical literature. Pediatric Anesthesia: Basic Principles-State of the Art-Future comprises the contributions of 150 experts in the field from all over the world, providing this book with a truly global perspective. This textbook will help anesthesiologists already interested in pediatric anesthesia to the knowledge and skills inherent to the safe practice of anesthesia for infants and children.
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This volume covers the entire spectrum of acute burn treatment. Individual chapters deal with basic aspects of different burn mechanisms as well as the acute care of burn patients. Pre-hospital management, critical care and basic concepts of burn surgery related to the acute phase, as well as the use of skin and skin substitutes in early stages of therapy are addressed in this volume. Chapters on supportive therapies such as optimizing nutrition and fluid homeostasis, infection control and treatment, respiratory support and pain management complete the comprehensive approach to the patient in this early stage of treatment, while chapters on epidemiology, prevention and disaster management enable the reader to evaluate the given information in a broader context.
The COVID-19 pandemic is unlike anything the world has ever seen before. Its reach is wide, and its effects have been debilitating. Understanding this particular strain of the coronavirus and knowing the best ways to recover are more important than ever. Rehabilitation from COVID-19: An Integrated Traditional Chinese and Western Medicine Protocol contains basic knowledge about COVID-19, including its etiology, pathogenesis, and treatment both in traditional Chinese medicine and Western medicine. It also includes relative assessment and rehabilitation targeting residual dysfunctions due to COVID-19, such as pulmonary dysfunction, mental disorders, and malnutrition, among others. Key Features ...
This book provides concise and updated information on trauma, consisting of current evidence-based techniques, practical guidelines, and new concepts and advancements in the field, including decision making from the golden hour to definitive treatment. It can serve as a reference book for doctors and those sitting for professional examinations, including general surgeons, orthopaedic surgeons, cardiothoracic surgeons, anaesthesiologists, neurosurgeons, radiologists, urologists, intensivists, and emergency physicians. It is also suitable for medical students and nurses.