Nutrition support in patients with multiple organ failure.

Abstract:

:The problem with any attempt to feed patients in multiple organ failure is that, because of an ongoing inflammatory process, the conventional techniques of supplying energy and protein do not maintain lean tissue mass. In addition, the conventional markers of nutritional status, both anthropometric (body mass and composition, arm circumference, etc.) and visceral protein (albumin, prealbumin) as well as immunological markers (delayed reactive skin hypersenstivity to common antigens and lymphocyte counts) are confounded by fluid retention (5-15 l) and the metabolic response to the illness. Recent research has focussed on the nature and origin of this inflammatory response, the problems of trying to feed an individual undergoing such a response, the details of the protein breakdown observed in sepsis and multiple organ failure and methods of modifying the response favourably.

authors

Campbell IT

doi

10.1097/00075197-199803000-00012

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

211-6

issue

2

eissn

1363-1950

issn

1473-6519

journal_volume

1

pub_type

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