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Báo cáo y học: "Year in review 2009: Critical Care – metabolism"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Year in review 2009: Critical Care – metabolism. | Huberlant and Preiser Critical Care 2010 14 238 http ccforum.eom content 14 6 238 CRITICAL CARE REVIEW L_ Year in review 2009 Critical Care - metabolism Vincent Huberlant and Jean-Charles Preiser Abstract Novel insights into the metabolic alterations of critical illness were published in Critical Care in 2009. The association between early hypoglycaemia high glycemic variability and poor outcome was confirmed. Improvements in the understanding of the pathophysiological mechanisms of stress hyperglycemia and potential progress in the bedside management of glucose control were presented. With regard to enteral nutrition some alterations of gastrointestinal physiology were better delineated. The relationship between the achievement of nutritional goals and outcomes was further investigated. Finally understanding of some critical-illness-related endocrine and neuromuscular disorders improved through new experimental and clinical findings. Several important contributions in the field of metabolic alterations of critical illness were published in Critical Care in 2009. These articles can be gathered into three areas of interest the physiology and clinical management of glucose control enteral nutrition and gastrointestinal disorders and critical-illness-related endocrine and neuromuscular alterations. Glucose metabolism and control Since 2001 and the publication of the Leuven I study 1 the metabolism and control of blood glucose is an area of intense research in intensive care medicine. The contrasting findings of subsequent prospective randomized controlled trials of glucose control fostered research in several different fields epidemiological insights came from association studies between blood glucose and outcome endocrinological pathways were investigated as potential contributors to stress hyperglycaemia and computer-assisted decision systems and continuous glucose monitoring were assessed in clinical conditions. Correspondence .