Abstract
Nutritional adequacy is frequently compromised after brain injury, consequent to initial pathology as well as iatrogenic factors. This also compromises fluid handling, pharmacodynamics, and subsequent wound healing. Early feeding improves outcomes, with the jejunal route offering greater success but more complexity in placement. Motility disorders are common but significantly compromise physiology, while stress gastric erosion remains a significant risk. Refeeding syndrome is a risk in cases of malnutrition. Hyperglycemia has adverse effects, but interventions and the precise thresholds for these remain uncertain. Immune-enhancing formulas can reduce infection rates. Combination therapies of vitamins and trace elements offer possibilities for improvement.
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Souter, M.J., Lam, A.M. (2020). Nutrition and Glucose Management. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-17410-1_89
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DOI: https://doi.org/10.1007/978-3-030-17410-1_89
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