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

Clinical Nutrition · Clinical Specialties

How it begins

A comprehensive metabolic, biochemical and immunological analysis of enteral and parenteral strategies in intensive care medicine, intestinal failure and hypercatabolic states.

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