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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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SMART SUMMER  SMART 2006 - Milan, May 10-12, 2006

Minerva Anestesiologica 2006 June;72(6):559-65

language: English

Metabolic treatment of critically ill patients: energy expenditure and energy supply

Iapichino G. 1, Radrizzani D. 2, Giacomini M. 1, Pezzi A. 1, Zaniboni M. 1, Mistraletti G. 1

1 Department of Anesthesiology and Intensive Care, San Paolo Hospital University of Milan, Milan, Italy
2 Anesthesia and Intensive Care Unit Civil Hospital, Legnano (Milan), Italy


Nutrition in critically ill patients should be considered as therapy: assessing the energy expenditure and the termogenic effect of food, and knowing the differences among composition and amount of given substrates, it is possible restore, maintain, or at least limit the derangement of energy equilibrium. Energy metabolism comprehends assumption, storage and oxidation of nutrients: all these factors could be discriminant in critical clinical conditions, particularly cardiac and respiratory failure. Then, this review would lead the decision making process beginning from biochemistry and bioenergetics, until the metabolic strategy practically usable at the bedside of patients during the whole critical phase of their pathology.

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