Carbohydrate and Nitrogen Metabolism After Injury

Kinney, John M.; Long, Calvin L.; Duke, Joshua

doi:10.1002/9780470719770.ch6

Cited by 26 publications

(3 citation statements)

References 32 publications

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“…In the other position of the valve, dried fresh air is analyzed. A switch (9) triggers the data collector (10), which transfers the analog output signal from the oxygen analyzer to the A/D converter (11). The digitized signal from the oxygen analyzer is fed into the calculator (12), where a program computes the energy expenditure for the actual flow, temperature, humidity, oxygen concentrations, barometric pressure, and protein fraction.…”

Section: Methodsmentioning

confidence: 99%

“…Recent advances in this very 0364-2313/78/0002-203 $02. 40 9 1978 Soci6t6 Internationale de Chirurgie broad field have clarified the posttraumatic pathways of metabolic fuel, especially gluconeogenesis of amino acids [10], the glucose flow, and etiology of the hypermetabolic response following injury [9], and hormone-metabolite interrelationships [8].…”

Section: Hormonal Effects On Metabolismmentioning

confidence: 99%

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Metabolic changes following thermal injury

Arturson

1978

World j. surg.

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Patients with extensive thermal injuries have a tremendous, long‐lasting increase in transcutaneous heat loss by increased evaporation, radiation, and convection. Their ability to regulate skin temperature and heat loss is limited, and the core‐skin insulation is inadequate. The corresponding posttraumatic metabolic response is a massive catabolic drive revealed as insulin insufficiency and increased release of catecholamines and glucagon. This stimulates lipolysis, proteolysis, substrate flow to the liver, and gluconeogenesis of amino acids. The increased heat production is related to an endogenous reset in metabolic activity and is further influenced by environmental conditions. Extensively burned patients cannot overcome the cold stress to which they are exposed by an increased functional heat insulation or by tolerating decreasing body temperature without reacting with a costly increase in heat production and without shivering. If the burn patients are permitted to control the heat supply from infrared heaters until they feel comfortable and all kinds of external environmental disturbances are eliminated, it is possible to reduce their metabolic rate to the normal value for the actual core temperature. The daily caloric requirements can be estimated and, in patients receiving a combined parenteral‐enteral dietary program and infrared heat, weight loss can be entirely avoided. Infrared radiation is a practical and inexpensive way of distributing energy from the environment to the patient, suitable also in disaster situations. The ambient air temperature can be kept comfortable with respect to the patient's airways and to the nursing staff.

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Section: Methodsmentioning

confidence: 99%

Section: Hormonal Effects On Metabolismmentioning

confidence: 99%

Metabolic changes following thermal injury

Arturson

1978

World j. surg.

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“…This basal calculation is then multiplied by a "stress factor." Stress factor estimates are derived from indirect calorimetry studies performed in critically ill surgical patients [31]. Stress factors are based on metabolic need over and above basal needs, and will vary with respect to body temperature, degree of physical activity and agitation, extensive injury, presence of sepsis, and degree of sympathetic activity [35].…”

Section: Approach To Nutritional Management In Acute Respiratory Failurementioning

confidence: 99%

Nutrition in acute respiratory failure

Pingleton

1986

Lung

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Nutrition is receiving increasing attention in the management of critically ill in the intensive care unit patients. Patients with acute respiratory failure, secondary to primary lung disease, have nutritional needs that may vary from those of other ICU patients. Proper nutritional support of acute respiratory failure patients requires knowledge of nutrition's effect upon the respiratory system as well as basic fundamentals of nutritional management.

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Raised Plasma Urea Levels After Myocardial Infarction

Moseley¹

1981

Arch Intern Med

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Carbohydrate and Nitrogen Metabolism After Injury

Cited by 26 publications

References 32 publications

Metabolic changes following thermal injury

Metabolic changes following thermal injury

Nutrition in acute respiratory failure

Raised Plasma Urea Levels After Myocardial Infarction

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