Article ID Journal Published Year Pages File Type
2742352 Anaesthesia & Intensive Care Medicine 2014 4 Pages PDF
Abstract

Metabolic and endocrine pathways are central to the body's compensatory response to trauma. They drive mobilization of energy substrates, volume conservation and haemostasis via activation of the hypothalamic pituitary adrenal axis, the sympathetic nervous system and an inflammatory response. As clinicians, we can intervene in these pathways, however optimal management of anaesthesia, fluids, transfusion, nutrition and the use of steroids remain controversial and to be determined.

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