Metabolic Support of the Critically Ill Patient

  • Douglas W. Wilmore
  • Yvon A. Carpentier

Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 17)

Table of contents

  1. Front Matter
    Pages I-XIV
  2. Monitoring Compositional Changes and Biochemical Functions

    1. Front Matter
      Pages 1-1
    2. G. L. Hill, D. Monk, L. D. Plank
      Pages 3-18
    3. K. N. Jeejeebhoy
      Pages 46-62
    4. C. Pichard, D. Slosman, A. G. Dulloo
      Pages 63-79
    5. H. Esterbauer
      Pages 80-91
  3. What Type of Metabolic Support?

    1. Front Matter
      Pages 93-93
    2. R. L. Chioléro, D. Bracco, J. P. Revelly
      Pages 95-118
    3. P. Fürst, P. Stehle
      Pages 119-136
    4. Y. A. Carpentier
      Pages 157-171
  4. Organ Specific Nutrients and Associated Therapy

    1. Front Matter
      Pages 173-173
    2. J. I. Lew, J. L. Rombeau
      Pages 175-197
    3. J. Wernerman, P. Garlick, E. Vinnars
      Pages 215-235
    4. D. A. Gilpin, M. J. Muller, D. N. Herndon
      Pages 236-251
    5. L. S. Young, T. A. Byrne, D. W. Wilmore
      Pages 252-264
  5. Preventing Complications

    1. Front Matter
      Pages 265-265
    2. G. P. Zaloga
      Pages 267-293
    3. P. A. M. van Leeuwen, M. A. Boermeester, A. P. J. Houdijk
      Pages 306-319
  6. Disease/Nutrients Interactions

    1. Front Matter
      Pages 365-365
    2. D. Bihari, I. Mitchell, R. Chang
      Pages 367-376
    3. E. Lerebours
      Pages 377-389
    4. F. B. Cerra
      Pages 427-438
  7. Back Matter
    Pages 439-441

About this book


Nutritional support of critically ill patients is a major treatment modality which will enhance recovery and shorten convalescence. New knowledge has emphasized that much of the organ dysfunction associated with sepsis and altered blood flow is related to oxidative injury. Specific nutrients are highly effective in counteracting these effects and their early administration may attenuate cellular damage and multi-organ failure. Patient outcome may also be enhanced by the route of feeding, administration of newer nutrient combinations, utilization of evolving methods of monitoring and the use of growth factors. This new knowledge has evolved to a new area of metabolic support which is addressed for the first time by a group of international experts. The topics presented and general conclusions are of major importance to the practitioners in this field, for they show, for the first time, a departure from the more traditional approaches of nutritional support in patients with life-threatening diseases.


Biochemical functions Biochemische Funktionen Critically Ill Patient Interaktion Erkrankung/Nährstoff Komplikationen Sepsis complications disease/nutrients interactions nutrition organ specific nutrients organspezifische Nährstoffe

Editors and affiliations

  • Douglas W. Wilmore
    • 1
  • Yvon A. Carpentier
    • 2
  1. 1.Laboratory for Surgical MetabolismBrigham and Women’s HospitalBostonUSA
  2. 2.L. Deloyers Laboratory for Experimental SurgeryFree University of BrusselsBrusselsBelgium

Bibliographic information

  • DOI
  • Copyright Information Springer-Verlag Berlin Heidelberg 1993
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-642-85013-4
  • Online ISBN 978-3-642-85011-0
  • Series Print ISSN 0933-6788
  • Buy this book on publisher's site