Position paper of the ESICM Working Group on Nutrition and Metabolism | Zendy

Gianni Biolo | Zendy; G. Grimble | Zendy; JeanCharles Preiser | Zendy; Xavier Leverve | Zendy; Philippe Jolliet | Zendy; M. Planás | Zendy; Erich Roth | Zendy; Jan Wernerman | Zendy; Claude Pichard | Zendy

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Position paper of the ESICM Working Group on Nutrition and Metabolism

Author(s) -

Gianni Biolo,

G. Grimble,

JeanCharles Preiser,

Xavier Leverve,

Philippe Jolliet,

M. Planás,

Erich Roth,

Jan Wernerman,

Claude Pichard

Publication year - 2002

Publication title -

intensive care medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.658

H-Index - 197

eISSN - 1432-1238

pISSN - 0342-4642

DOI - 10.1007/s00134-002-1512-2

Subject(s) - critically ill , critical illness , medicine , intensive care medicine , position paper , anesthesiology , clinical nutrition , pathology

The metabolic changes associated with critical illness involve several pathways acting at different steps of the utilization of nutritive substrates. The understanding of the role of these pathways and of their complex regulation has led to the development of new strategies for the metabolic and nutritional management of critically ill patients, including the development of new products for nutritional support. The rationale for changing the profile of nutritional support solutions by adding novel substrates is also discussed. This review focuses on the metabolic specificities of critically ill patients and also includes an analysis of the adequacy of tools to monitor the metabolic status and the adequacy of the nutritional support.

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