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MINERVA ANESTESIOLOGICA

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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Minerva Anestesiologica 2008 December;74(12):709-13

language: English

Metabolic support of the critically ill: 2008 update

Iapichino G. 1, Radrizzani D. 2, Destrebecq A. 3, Vincenzi M. 4, Zanello M. 4

1 Institute of Anesthesia and Intensive Care, University of Milan, Milan, Italy;
2 Unit of Anesthesia and Intensive Care, Civil Hospital, Legnano, Milan, Italy;
3 Department of Public Health, Microbiology-Virology, University of Milan, Milan, Italy;
4 Unit of Anesthesia and Intensive Care, Bellaria Hospital, University of Bologna, Bologna, Italy


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Nutrition support in critically ill patients is not merely simple nutrition, but rather metabolic support. In the last few years, the pharmacological properties of nutrients have been specifically addressed in a new field called pharmaconutrition. This review will offer a deeper insight into this field, focusing on the properties of arginine, glutamine, antioxidants, and w-3 fatty acids as well as the level of blood glycemia which should be maintained in critically ill patients.

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