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Total Parenteral Nutrition in Critical Polytrauma Patients. Effects of Essential Aminoacid Distribution.

Published online by Cambridge University Press:  28 June 2012

Sergio I. Magalini ,
Rodolfo Proietti  and
Giuliano Pelosi
Sergio I. Magalini
Affiliation:
From the Instituto Anesthesiologia e Rianimazione, Universita Cattolica del Sacro Cuore, Largo A. Gemelli 8,00168 Roma, Italia.
Rodolfo Proietti
Affiliation:
From the Instituto Anesthesiologia e Rianimazione, Universita Cattolica del Sacro Cuore, Largo A. Gemelli 8,00168 Roma, Italia.
Giuliano Pelosi
Affiliation:
From the Instituto Anesthesiologia e Rianimazione, Universita Cattolica del Sacro Cuore, Largo A. Gemelli 8,00168 Roma, Italia.
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Extract

Previous work of our group and data from the literature show that in the polytraumatic patient the metabolic status is characterized by a severe and persistent catabolic situation involving carbohydrate, protein, lipid, mineral metabolism and hormonal and chemical mediators. This situation is clinically expressed by the so-called “post stress syndrome.”

Total parenteral nutrition has assumed a major role in the treatment of polytrauma patients and its application has produced a significant modification of the physiopathological evolution and improvement of the clinical outcome.

Type
Part II: Clinical Care Topics
Information
Prehospital and Disaster Medicine , Volume 1 , supplement S1: Disaster Resuscitology , 1985 , pp. 189 - 190
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1985

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References

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