Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2742352 | Anaesthesia & Intensive Care Medicine | 2014 | 4 Pages |
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.
Keywords
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Authors
Jennifer Hastings, Amy Krepska, Owen Roodenburg,