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Nutritional Support in the Neurointensive Care Unit

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Nutrition in Neurologic Disorders

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Abstract

Acute neurological injuries result in activation of sympathetic and inflammatory pathways that have significant impact on the resting metabolic rate. The resultant hypermetabolic state, if not fully supported, can result in a malnourished state, influence secondary complications, and impair the recovery process. Therefore, it is important to recognize the nutritional status of patients in the neurocritical care setting. Unfortunately, much of the data supporting nutritional support is derived from studies in a general critical care population and does not address specific needs for the neurologically injured patient population. This chapter will provide an updated review of the literature on methods by which to monitor and manage nutritional status for common diseases in the neurocritical care setting. Additionally, new concepts of providing nutritional interventions as targeted therapies modulating the immune response after neurological injury will be discussed.

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Authors and Affiliations

  1. Section of Neurocritical Care, Program in Trauma & Division of Neurocritical Care and Emergency Neurology, Department of Neurology, University of Maryland, School of Medicine, Baltimore, MD, 21201, USA

    Imad Khan, Sundeep Bojedla & Neeraj Badjatia

  2. Shock Trauma Neurocritical Care, University of Maryland Medical Center, 22 S. Greene Street, G7K19, Baltimore, MD, 21201, USA

    Neeraj Badjatia

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  1. Imad Khan
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  2. Sundeep Bojedla
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  3. Neeraj Badjatia
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Correspondence to Neeraj Badjatia .

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  1. Hacettepe University Faculty of Medicine, Ankara, Turkey

    Ethem Murat Arsava

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Khan, I., Bojedla, S., Badjatia, N. (2017). Nutritional Support in the Neurointensive Care Unit. In: Arsava, E. (eds) Nutrition in Neurologic Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-53171-7_5

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  • DOI: https://doi.org/10.1007/978-3-319-53171-7_5

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