When Is It Appropriate to Use Arginine in Critical Illness?

In health, arginine is considered a nonessential amino acid but can become an essential amino acid (ie, conditionally essential amino acid) during periods of metabolic or traumatic stress as endogenous arginine supply is inadequate to meet physiologic demands. Arginine depletion in critical illness...

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Veröffentlicht in:Nutrition in Clinical Practice 2016-08, Vol.31 (4), p.438-444
Hauptverfasser: Patel, Jayshil J., Miller, Keith R., Rosenthal, Cameron, Rosenthal, Martin D.
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container_title Nutrition in Clinical Practice
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creator Patel, Jayshil J.
Miller, Keith R.
Rosenthal, Cameron
Rosenthal, Martin D.
description In health, arginine is considered a nonessential amino acid but can become an essential amino acid (ie, conditionally essential amino acid) during periods of metabolic or traumatic stress as endogenous arginine supply is inadequate to meet physiologic demands. Arginine depletion in critical illness is associated with impairments in microcirculatory blood flow, impaired wound healing, and T-cell dysfunction. The purpose of this review is to (1) describe arginine metabolism and role in health and critical illness, (2) describe the relationship between arginine and asymmetric dimethylarginine, and (3) review studies of supplemental arginine in critically ill patients.
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subjects arginase
arginine
Arginine - analogs & derivatives
Arginine - deficiency
Arginine - metabolism
Arginine - therapeutic use
asymmetric dimethylarginine
Critical Care - methods
Critical Illness
Dietary Supplements
Humans
nitric oxide
Nursing
sepsis
surgery
trauma
wound healing
title When Is It Appropriate to Use Arginine in Critical Illness?
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