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- W2090414977 abstract "Au cours de ces trois dernières décennies, l’incidence de l’obésité a considérablement augmenté dans les pays industrialisés. Aussi, il n’est pas surprenant que les patients obèses représentent une population croissante dans les services de réanimation. Le patient obèse agressé présente de grandes variations du métabolisme des hydrates de carbones, des lipides et des acides aminés ainsi que du catabolisme protéique. Le support nutritionnel chez le patient agressé est un véritable défi pour l’équipe médicale mais il devient encore plus difficile chez le patient obèse. La mesure de la dépense énergétique par calorimétrie indirecte détermine au mieux la dépense énergétique, néanmoins, elle est peu utilisable, notamment en réanimation ; différentes équations peuvent alors être utilisées. Le régime hypocalorique, hyperprotidique peut être bénéfique sur l’anabolisme protéique et le contrôle glycémique. Over the past three decades, the incidence of obesity showed a steady rise in developed countries. So, it is not surprising that obese patients constitute an increasing portion of patients admitted to the intensive care units. Critically ill obese patients are characterized by wide variations in their carbohydrate, lipid and amino acid/protein metabolism. Nutrition support in the critically ill patient is challenging but is even more difficult in a morbidly obese patient. Providing nutritional support for the critically ill obese patients represents a unique challenge to the medical team. Measurement of energy expenditure by indirect calorimetry has become the preferred method, however, it is not always available and different equations could be used. Hypocaloric, high-protein nutritional support may be beneficial for net protein anabolism and better glycemic control." @default.
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- W2090414977 date "2010-09-01" @default.
- W2090414977 modified "2023-09-26" @default.
- W2090414977 title "Nutrition du patient obèse agressé" @default.
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- W2090414977 doi "https://doi.org/10.1016/j.reaurg.2010.04.008" @default.
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