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Immunonutrition in Intensive Care

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Diet and Nutrition in Critical Care

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Abstract

This chapter reviews the concept of “immunonutrition” with anti-inflammation and immune enhancement in intensive care patients. The mechanisms of action of single substrates are discussed. Data from clinical trials as well as the recent guideline recommendations are presented.

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Abbreviations

APACHE:

Acute Physiology and Health Evaluation

ARDS:

Acute respiratory distress syndrome

ASPEN:

American Society for Parenteral and Enteral Nutrition

BW:

Body weight

CI:

Confidence interval

CRP:

C-reactive protein

DNA:

Deoxyribonucleic acid

ERAS:

Enhanced recovery after surgery

ESPEN:

European Society for Clinical Nutrition and Metabolism

HLA:

Human leukocyte antigen

HSP:

Heat shock protein

IL:

Interleukin

Kcal:

Kilocalories

NO:

Nitric oxide

PCT:

Procalcitonin

REDOXS:

REducing Deaths due to Oxidative Stress

SOFA:

Sequential organ failure assessment

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Authors and Affiliations

  1. Klinik für Allgemein- und Visceralchirurgie, Klinikum St. Georg gGmbH Leipzig, Delitzscher Str. 141, 04129, Leipzig, Germany

    Arved Weimann

  2. Nutritional Therapy Practitioner, Eastwood Hill Brow Road, LISS, Hampshire, GU33 7LH, UK

    Dominique Ludwig

Authors
  1. Arved Weimann
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  2. Dominique Ludwig
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Corresponding author

Correspondence to Arved Weimann .

Editor information

Editors and Affiliations

  1. Royal Free London Hospitals, Barnet General Hospital, London, UK

    Rajkumar Rajendram

  2. Division of Diabetes & Nutritional Sciences, Faculty of Life Sciences & Medicine, King’s College London, London, UK

    Rajkumar Rajendram

  3. King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia

    Rajkumar Rajendram

  4. Department of Nutrition and Dietetics, Division of Diabetes & Nutritional Sciences, Faculty of Life Sciences & Medicine, King’s College London, London, UK

    Victor R. Preedy

  5. Department of Biomedical Sciences, Faculty of Science & Technology, University of Westminster, London, UK

    Vinood B. Patel

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Weimann, A., Ludwig, D. (2015). Immunonutrition in Intensive Care. In: Rajendram, R., Preedy, V.R., Patel, V.B. (eds) Diet and Nutrition in Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7836-2_106

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  • DOI: https://doi.org/10.1007/978-1-4614-7836-2_106

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