Clinical Nutrition — Organ Failure and Critical Patient

Clinical Nutrition · Clinical Specialties

How it begins

A rigorous scientific study of metabolic reprogramming, mitochondrial thermodynamics and molecular nutritional support strategies in states of shock, multiple organ dysfunction and terminal parenchymal failure.

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 Assessment 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