Clinical Nutrition — Organ Failure and Critical Patient

Clinical Nutrition · Clinical Specialties

How it begins

Un estudio científico riguroso de la reprogramación metabólica, la termodinámica mitocondrial y las estrategias de soporte nutricional molecular en estados de shock, disfunción multiorgánica e insuficiencia parenquimatosa terminal.

What it covers

1. Organ Failure and Critical Patient
2. Metabolic Phases of Acute Injury: Ebb, Flow and Recovery
3. · The Dynamics of Injury: Chronological and Molecular Analysis
4. · The Cytokine Storm and the Reprogramming of the Energy Substrate
5. Evaluation of Nutritional Status in Critical Patients
6. · Limitations of Classic Valuation Methods
7. · GLIM (Global Leadership Initiative on Malnutrition) Diagnostic Criteria
8. · Risk Stratification: NUTRIC Score
9. · Indirect Calorimetry: The Gold Standard
10. Energy Requirements, Macronutrients and Lipid Profiles
11. · Hypocaloric Hyperproteic Strategy in the Acute Phase
12. · Amino Acid Formulation and the Role of Nitrogen
13. · Third Generation Lipid Emulsions
14. Enteral Nutrition (EN): Physiology, Indications and Access
15. · The Intestinal Barrier as an Immune Organ in Injury
16. · Advanced Enteral Feeding Accesses
17. Parenteral Nutrition (PN): Indications, Complications and Monitoring
18. · Clear Indications for Parenteral Nutritional Support
19. · Venous Access Routes and Osmolarity Calculation
20. · Critical Clinical Complications of Parenteral Nutrition
21. Refeeding Syndrome
22. · Pathophysiology of Hydroelectrolyte Collapse
23. · The Critical Role of Thiamine (Vitamin B1)
24. Nutritional Support in Respiratory Failure and ARDS
25. · Carbon Dioxide Overload: The Role of Carbohydrates
26. · Acute Respiratory Distress Syndrome (ARDS): Volume and Lipid Restriction
27. Nutritional Support in Acute Kidney Injury and Nephropathy
28. · Metabolic Alterations of the Uremic State
29. · Protein Adjustment: Conservative Management vs. Continuous Renal Replacement Therapies (CRRT)
30. Nutritional Support in Liver Failure and Hyperammonemia
31. · Pathophysiology of Liver Dysfunction in Critical Care
32. · The Amino Acid Hypothesis and the Fischer Quotient
33. Nutritional Support in Heart Failure and Cardiac Cachexia
34. · Metabolic Reprogramming of the Ischemic Cardiomyocyte
35. · Pathophysiology of Cardiac Cachexia
36. · Principles of Nutritional Support in Critical Heart Failure
37. Nutritional Support in Sepsis and Septic Shock
38. · Cytopathic Hypoxia and Septic Mitochondrial Dysfunction
39. · The Dilemma of Early Enteral Nutrition in Vasodependence
40. Nutritional Support in Severe Acute Pancreatitis (PAG)
41. · The Paradigm Revolution: The End of Pancreatic Rest
42. · Access Route: Gastric Tube or Jejunal Tube?
43. · Recommended Formulation in PAG
44. Nutritional Management in High Output Enterocutaneous Fistulas
45. · Pathophysiology of Hydroelectrolyte and Nutritional Imbalance
46. · Reconstructive Strategies and the Fistuloclysis Technique
47. Immunonutrition, Pharmaconutrition and Tolerance Monitoring
48. · Specific Pharmaconutritional Substrates
49. · Biomarkers of Tolerance and Enterocyte Mass