Depression of glucose utilization by intralipid in the post-traumatic period: An experimental study

We investigated the accelerated clearance of Intralipid (IL) in the immediate post-traumatic period and the influence of the concomitant rise in fatty acid (FFA) metabolism on carbohydrate tolerance. As a result we postulate that intermediary products of fatty acid oxidation inhibit key enzymes in t...

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Veröffentlicht in:Journal of pediatric surgery 1980-12, Vol.15 (6), p.739-745
Hauptverfasser: Das, John B., Joshi, Indira D., Philippart, Arvin I.
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creator Das, John B.
Joshi, Indira D.
Philippart, Arvin I.
description We investigated the accelerated clearance of Intralipid (IL) in the immediate post-traumatic period and the influence of the concomitant rise in fatty acid (FFA) metabolism on carbohydrate tolerance. As a result we postulate that intermediary products of fatty acid oxidation inhibit key enzymes in the glycolytic pathway. The fatty acidemia and its metabolic sequlae can be avoided by intermittent Intralipid supplementation (at low rates) during TPN. It will assure (1) a larger carbohydrate-to-fat caloric ratio during infusion and (2) cyclical regeneration of the enzyme systems involved in lipid metabolism.
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subjects Animals
Antigens
Blood Glucose - metabolism
Chylomicrons - blood
Depression, Chemical
Disease Models, Animal
Dogs
Epinephrine - blood
Fat Emulsions, Intravenous - metabolism
fatty acid metabolism
Fatty Acids, Nonesterified - blood
Female
Glucagon - blood
Glucagon - immunology
Glucose - metabolism
Insulin - metabolism
Intralipid
metabolic response to trauma
Norepinephrine - blood
Time Factors
Wounds and Injuries - metabolism
title Depression of glucose utilization by intralipid in the post-traumatic period: An experimental study
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