Abstract
Sir David Cuthbertson has described two consecutive metabolic phases taking place after severe injury and/or during major sepsis [1]:
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1.
the initial ebb phase of variable duration, characterized by low cardiac output and tissue perfusion and during which most cellular functions are depressed. During this phase, catecholamine release by the adrenals and the sympathetic nervous system is high while insulin release is virtually abolished.
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Carpentier, Y.A. (1985). Fat Metabolism in the Critically Ill. In: Vincent, J.L. (eds) Update in Intensive Care and Emergency Medicine. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 178. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70309-6_34
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DOI: https://doi.org/10.1007/978-3-642-70309-6_34
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