Clinical Nutrition: Artificial Nutritional Support — Treatise on Internal Medicine and Endocrinology

Clinical Nutrition · Clinical Specialties

How it begins

Un análisis metabólico, bioquímico e inmunológico exhaustivo de las estrategias enterales y parenterales en medicina intensiva, fallo intestinal y estados hipercatabólicos.

What it covers

1. Artificial Nutritional Support
2. Pathophysiology of Malnutrition and Metabolic Screening
3. · Validated Nutritional Screening Tools
4. · Global Initiative Malnutrition Diagnostic Criteria (GLIM)
5. Physiology of the Intestinal Barrier and Prolonged Fasting
6. · Structural Components of the Barrier
7. · The Bacterial Translocation Phenomenon and SIRS
8. Accesses in Enteral Nutrition
9. · Nutritional Access Selection Criteria
10. · Surgical and Placement Techniques
11. Enteral Formulas and Pharmacological Immunonutrition
12. · Biochemical Classification and Osmolarity of Enteral Formulas
13. · Pharmacologically Active Substrates (Immunonutrition)
14. Infusion, Enteral Tolerance and Monitoring Modes
15. · Infusion Protocols in Serious Patients
16. · Monitoring Gastrointestinal Tolerance
17. · Pharmacological Strategy for Gastric Intolerance
18. Vascular Access in Parenteral Nutrition
19. · Comparison of Administration Routes
20. · Types of Central Access Catheters
21. Biochemical Components and Physical-Chemical Stability
22. · Macronutrient Formulation and Evolution of Lipid Emulsions
23. Prescription, Estimation Methods and Safety Calculations
24. · Determination of Energy Requirements: Indirect Calorimetry vs. Equations
25. · Estimation by Predictive Formulas
26. · The Calculation of Nitrogen Balance
27. · Metabolic Limits of Parenteral Substrate Infusion
28. Refeeding Syndrome
29. · Molecular Physiopathological Mechanism
30. · Multiorgan Clinical Consequences
31. · Prevention and Management Protocol
32. Complications of Enteral Nutrition
33. · Diarrhea Associated with Enteral Nutrition: Pathophysiology and Diagnosis
34. · Aspiration Pneumonia
35. Complications of Parenteral Nutrition
36. · Catheter Associated Bloodstream Infection (CRBSI)
37. · Hepatobiliary Disease Associated with Parenteral Nutrition (PNALD / IFALD)
38. Nutritional Support in Critical Patients
39. · Metabolic Evolution of Critical Illness
40. · The Concept of Initiating Enteral Nutrition Early
41. · The Autophagy Hypothesis and Early Full Nutrition
42. Nutritional Support in Organ Failure and Metabolic Dysfunction
43. · Acute and Chronic Renal Failure (AKI) with Renal Replacement
44. · Liver Failure and Encephalopathy: The Role of BCAAs
45. Enterocutaneous Fistulas and Short Bowel Syndrome
46. · Management of High-Debit Enterocutaneous Fistulas (ECF)
47. · Short Bowel Syndrome (SIC): Physiology of Intestinal Failure
48. · Adaptive Phases of the Short Intestine