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This book demonstrates how the latest insights into the physiopathology of the stress response can be integrated into clinical practice. The topic is particularly relevant since the metabolic changes triggered by acute stress, including adaptive responses such as resistance to anabolic signals, have recently been more precisely delineated. The underlying mechanisms of these changes are also now better understood. The authors analyse how these advances could result in better management and more effective prevention of the long-term clinical consequences of the alterations occurring during the acute phase. An international panel of respected experts discusses these topics and describes the management of some common clinical conditions.
List of contents
Foreword.- Introduction.- Part 1: Metabolic changes.- Successive phases.- Bioenergetics of the stress response.- Hibernation and mitochondrial adaptation.- Resistance to anabolic signals.- Use of lipids as energy substrates.- Use of carbohydrates.- Stress hyperglycemia.- Protein metabolism.- Micronutrients.- Part 2: Hormonal regulation.- Hypothalamic-pituitary axis.- Thyroid.- Adrenal.- Sex hormones.- Enterohormones.- Adipokines.- Part 3: Particular clinical situations.- Severe undernutrition.- Traumatic brain injury.- Sepsis and MOF.- Morbid obesity.- Burn injury.
About the author
Jean-Charles Preiser is currently Professor at the Department of Intensive Care of the Erasme University Hospital in Brussels. He has a long-lasting involvement in clinical research, in relation with the metabolic and nutritional aspects of critical illness. He published about 200 peer-reviewed articles, guidelines and book chapters. He is currently the associate editor of the Journal of Parenteral and Enteral Nutrition (JPEN), Critical Care and The Annals of Intensive Care and is actually involved in international and national education programs on nutrition.
Summary
This book demonstrates how the latest insights into the physiopathology of the stress response can be integrated into clinical practice. The topic is particularly relevant since the metabolic changes triggered by acute stress, including adaptive responses such as resistance to anabolic signals, have recently been more precisely delineated. The underlying mechanisms of these changes are also now better understood. The authors analyse how these advances could result in better management and more effective prevention of the long-term clinical consequences of the alterations occurring during the acute phase. An international panel of respected experts discusses these topics and describes the management of some common clinical conditions.
Report
"The last decade has seen dramatic evolution in our understanding of the metabolic response to critical illness and its management. This book provides a summary of this work. Senior trainees in critical care or practitioners in high acuity units are an appropriate audience for this book, written by authors from Europe and North America. ... This is a worthy summary of the recent work in metabolic and endocrine response to various insults." (David J. Dries, Doody's Book Reviews, July, 2016)
