Title Surgical metabolism : the metabolic care of the surgical patient / Kimberly A. Davis, Stanley H. Rosenbaum, editors

Edition 2nd ed Published Cham : Springer, 2020

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Description 1 online resource (xxi, 373 pages) : illustrations Contents Intro -- Preface -- Contents -- Contributors -- Abbreviations -- Part I: Normal Metabolism -- 1: Introduction to Metabolism -- Introduction -- History of Metabolism -- The Hierarchy of Metabolism -- The Mitochondrial Level -- The Cellular Level -- The Organ Level -- Metabolic States at the Organism Level -- Energy Requirements -- Normal Energy Requirements -- Abnormal Energy Requirements -- The Measurement of Energy Requirements -- Direct Calorimetry -- Indirect Calorimetry -- Equations to Calculate REE -- Sources of Energy -- Carbohydrates -- Proteins -- Lipids -- Alternate Sources of Energy Normal Metabolic Processes -- Cofactors and Enzymes -- Therapeutic Interventions -- Normal Metabolism -- Perturbations of Metabolism -- Starvation -- Obesity -- Metabolic Stressors -- Genomics Impacting Metabolism -- Metabolomics -- Inborn Errors in Metabolism -- References -- 2: Fluid and Electrolytes -- Introduction -- Total Body Water and the Fluid Compartments -- Volume Control Mechanisms -- Baseline Water and Electrolyte Requirements -- Parenteral Solutions -- Maintenance Fluid Therapy -- Resuscitative Fluid Therapy -- The Relationship Between Disorders of Water Balance and Sodium Balance Disorders of Sodium Metabolism -- Disorders of Potassium Metabolism -- Disorders of Calcium Metabolism -- Disorders of Magnesium Metabolism -- Disorders of Phosphorous Metabolism -- References -- 3: Acid-Base Physiology -- General Principles -- Physiologic Basis for Acid-Base Disorders and Their Compensation -- Chemical Buffering Systems -- Physiologic Determinants of Acid-Base Maintenance -- Renal System -- Renal Reabsorption of Bicarbonate and Excretion of Acid -- Kidney-Liver Interaction -- Gastrointestinal Tract -- Respiratory Regulation of Carbon Dioxide Description and Classification of Acid-Base Disorders -- Assessment of Acid-Base Balance -- Metabolic Acid-Base Disorders -- Metabolic Acidoses -- Pathophysiology -- Anion Gap Acidoses -- Determination of Anion Gap -- Clinical Utility of Anion Gap -- Strong Ion Gap -- Lactate -- Sodium Bicarbonate -- Ketoacidosis -- Acidosis Secondary to Toxin Ingestion -- Salicylates -- Alcohols -- Ethylene Glycol -- Methanol -- Isopropyl Alcohol -- Renal Failure -- Acidosis Secondary to Rhabdomyolysis -- Acidosis of Unknown Origin -- Prognostic Significance of Positive-AG Metabolic Acidosis Non-anion Gap Acidosis (Hyperchloremic) -- Gastrointestinal Tract Loss -- Renal Tubular Acidosis -- Iatrogenic Acidosis -- Unexplained Hyperchloremic Acidosis -- Metabolic Alkaloses -- Pathogenesis and Differential Diagnosis -- Chloride-Sensitive Metabolic Alkaloses -- Chloride-Resistant Metabolic Alkaloses -- Other Causes of Metabolic Alkalosis -- Diagnostic Evaluation and Management -- Metabolic Acidosis -- Respiratory Acid-Base Disorders -- Pathophysiology -- Respiratory Acidosis -- Mechanism -- Management -- Treatment of Underlying Ventilatory Impairment -- Control of Hypoxemia Summary The goal of this book is not to follow a traditional systems or organ-based approach but rather to encourage our readers to think of the patients as complex biochemical systems. The book provides information that supplements the more traditional approaches and provides a detailed overview of the metabolic knowledge needed for surgical practice. The text reviews normal physiology, the pathophysiology of starvation and surgical stressors. It also focuses on appropriate nutritional repletion for various common disease states. Specifically, chapters address the severe metabolic demands created by systemic inflammation, infection, and major insults such as trauma and burns. All chapters are written by experts in their fields and include the most up-to-date scientific and clinical information. As biochemical aspects of modern medicine are advancing rapidly, chapters have been updated and several new chapters have been added in order to help readers keep pace in this race for state-of-the-art knowledge. Surgical Metabolism: The Metabolic Care of the Surgical Patient 2nd Edition is designed for clinicians across levels of training and provides clear and concise evidence based guidelines for the metabolic management and nutritional support of the surgical patient Bibliography Includes bibliographical references and index Subject Surgery -- Nutritional aspects. Metabolism. Postoperative care. Preoperative care. Nutrition. Postoperative Care Preoperative Care Perioperative Care Nutritional Support -- methods Nutritional Physiological Phenomena Metabolic Diseases -- physiopathology Metabolism metabolism (biological concept) Intensive care medicine. General surgery. Medical -- Critical Care. Medical -- Surgery -- General. Preoperative care Nutrition Postoperative care Metabolism Surgery -- Nutritional aspects Metabolisme. Dietoteràpia. Període postoperatori. Genre/Form Electronic books Llibres electrònics. Form Electronic book Author Davis, Kimberly A. Rosenbaum, Stanley H. ISBN 9783030397814 3030397815

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