This volume is a comprehensive, state-of-the-art review for clinicians with an interest in the peri-operative
nutritional management of all surgical patients. The text reviews normal physiology, the pathophysiology of starvation
and surgical stressors, and focuses on appropriate nutritional repletion for various common disease states.
Specifically, the text addresses the severe metabolic demands created by systemic inflammation, infection, and major
insults such as trauma and burns. In addition, the book addresses the growing problem of obesity in surgical
populations, including appropriate strategies directed towards the metabolic management of these patients. The text 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.
Written by experts in the field, Surgical Metabolism: The Metabolic Care of the Surgical Patient is a valuable resource
for all clinicians involved in the care of the critically ill.
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Contents
1 Introduction to Metabolism.......................................................... 1
Christy M. Lawson, Chandler A. Long, Reagan Bollig,
and Brian J. Daley
2 Fluid and Electrolytes.................................................................... 23
Bishwajit Bhattacharya and Linda L. Maerz
3 Acid뺹ase Physiology.................................................................... 41
Suresh Agarwal and Amy E. Liepert
4 Starvation........................................................................................ 71
Charles Weissman and Rawhi Hashem
5 Metabolism in the Trauma Patient............................................... 97
Stephanie Gordy and Rosemary A. Kozar
6 Burns............................................................................................... 111
Michael J. Mosier and Richard L. Gamelli
7 Obesity............................................................................................ 127
Roland N. Dickerson
8 Malignancy..................................................................................... 147
Laleh G. Melstrom, Vadim Koshenkov,
and David A. August
9 Sepsis and Nutrition....................................................................... 167
Laura J. Moore and Frederick A. Moore
10 Intestinal Failure............................................................................ 183
Douglas L. Nguyen, Philbert Y. Van,
Stephen A. McClave, and Robert G. Martindale
11 Enteral Nutrition............................................................................ 199
Eric H. Bradburn and Bryan Collier
12 Parenteral Nutrition...................................................................... 213
Vivian M. Zhao and Thomas R. Ziegler
13 Considerations in Organ Failure.................................................. 225
Carlos Ortiz-Leyba
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14 Endocrine Perturbations in Critical Illness................................. 247
Grace S. Lee, Silvio E. Inzucchi, and Elizabeth H. Holt
15 Geriatric Considerations............................................................... 273
Ryan A. Lawless and Michael D. Pasquale
Index........................................................................................................ 285
Contents