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  • Book
    Kimberly A. Davis, Stanley H. Rosenbaum, editors.
    Summary: This volume is a comprehensive, state-of-the-art review for clinicians with an interest in the peri-operative nutritionalmanagement 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 forall cliniciansinvolved in the care of the critically ill.

    Contents:
    Introduction to Metabolism
    Fluid and Electrolytes
    Acid-Base Physiology
    Starvation
    Metabolism in the Trauma Patient
    Burns
    Obesity
    Malignancy
    Sepsis and Nutrition
    Intestinal Failure
    Enteral Nutrition
    Parenteral Nutrition
    Considerations in Organ Failure
    Endocrine Perturbations in Critical Illness
    Geriatric Considerations.
    Digital Access Springer 2014
  • Article
    Cokkinos DV, Mallios C, Philias N, Vorides EM.
    Acta Cardiol. 1978;33(3):167-84.
    Seven cases of an unusual type of ventricular arrhythmia, already named "Torsades de pointe" by French authors, are presented. It is characterized by a changing pattern of the ventricular complexes, spontaneous onset and cessation, and refractoriness to defibrillation and antiarrhythmic drugs which decrease intraventricular conduction. Prior to its onset, Q-T prolongation is almost universally seen in the ECG. Hypokalemia, myocardial depressants and bradycardia are common causes. Isoproterenol and rapid cardiac pacing are recommended as the treatment of choice. This arrhythmia is a distinct entity, quite different from typical ventricular tachycardia or fibrillation.
    Digital Access Access Options