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Introduction
Pages 1-2
This book demonstrates how the latest insights into the physiopathology of the stress response can be integrated into clinical practice. The topic is particularly relevant since the metabolic changes triggered by acute stress, including adaptive responses such as resistance to anabolic signals, have recently been more precisely delineated. The underlying mechanisms of these changes are also now better understood. The authors analyse how these advances could result in better management and more effective prevention of the long-term clinical consequences of the alterations occurring during the acute phase. An international panel of respected experts discusses these topics and describes the management of some common clinical conditions.
Introduction
Pages 1-2
Successive Phases of the Metabolic Response to Stress
Pages 5-18
Bioenergetics of the Stress Response
Pages 19-26
Mitochondrial Adaptation and Hibernation
Pages 27-43
Anabolic Resistance
Pages 45-60
Use of Lipids as Energy Substrates
Pages 61-74
The Stress Response of Critical Illness: Metabolic and Hormonal Aspects
Pages 75-87
Stress Hyperglycemia
Pages 89-94
Protein Metabolism
Pages 95-106
Micronutrients
Pages 107-122
Thyroidal Changes During Critical Illness
Pages 125-136
Stress Response: Adrenal Function
Pages 137-152
Enterohormones and the Response to Critical Illness
Pages 153-168
Adipokines in Critical Illness
Pages 169-183
Severe Undernutrition
Pages 187-195
The Stress Response after Traumatic Brain Injury: Metabolic and Hormonal Aspects
Pages 197-206
Sepsis and Multiple Organ Failure
Pages 207-215
The Stress Response of Critical Illness: Metabolic and Hormonal Aspects, Hormonal Regulation, Particular Clinical Situations “Morbid Obesity”
Pages 217-225
Hypermetabolic Response to Burn Injury
Pages 227-245
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