This text provides a review of the current knowledge in both the mechanics of nourishing the critically ill and the metabolic and immunological roles nutrients play. In-depth chapters discuss disease related malnutrition as distinct from under-or-over nourishment and the impact of nourishment in either form of malnutrition. The appropriate timing and indications for nutrition support are provided, as well as advanced techniques for improving practice. A broad range of issues related to interdisciplinary practice are also addressed.

Useful for a wide variety of practitioners, including ICU doctors, hospitalists, and nutrition support physicians, Nutrition Support of the Critically Ill provides the scientific underpinnings and practical recommendations for practice.

Zusammenfassung
This text provides a review of the current knowledge in both the mechanics of nourishing the critically ill and the metabolic and immunological roles nutrients play. In-depth chapters discuss disease-related malnutrition as distinct from under-or-over nourishment and the impact of nourishment in either form of malnutrition. The appropriate timing and indications for nutrition support are provided as well as advanced techniques for improving practice. A broad range of issues related to interdisciplinary practice are addressed. Useful for a wide variety of practitioners, including ICU doctors, hospitalists, and nutrition support physicians, Nutrition Support of the Critically Ill provides practical bedside advice and simplified recommendations for practice.

Inhalt

1 An Introduction to Malnutrition in the Intensive Care Unit.- 2 The Immunological Role of Nutrition in the Gut.- 3 Assessment of the Patient.- 4 Timing and Indications for Enteral Nutrition in the Critically Ill.- 5 Access and Complications of Enteral Nutrition Support for Critically Ill Patients.- 6 Timing and Indication for Parenteral Nutrition in the Critically Ill.- 7 Access and Complications of Parenteral Nutrition.- 8 Surgical Intensive Care Considerations.- 9 Major Infections and Sepsis.- 10 Organ Failure and Specialized Enteral Formulas.- 11 Management of the Obese Patient.- 12 Ethical Considerations in Nutrition Support in Critical Care.- 13 Safe Practices for Enteral and Parenteral Nutrition.- 14 The Economic Impact of Nutrition Support, and the Multidisciplinary Approach.- 15 Microbiome in the Critically Ill.- Future Research.