July 1983

Metabolic Management of the Critically 111

Author Affiliations



by Douglas W. Wilmore, 262 pp, $26.50, New York, Plenum Publishing Corp, 1983.

Arch Surg. 1983;118(7):883. doi:10.1001/archsurg.1983.01390070091025

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This guide to the nutritional management of the seriously ill reflects the imaginative and tidy mind of its author, who is a serious student of this subject. The book was written while Wilmore was serving in the Army Institute of Surgical Research (Washington, DC), and his style has directive overtones, for which those of us with only a fraction of his nutritional knowledge are duly grateful.

This is a skillfully written guide book. Each section starts with a simple description of the physiology and biochemistry of such subjects as energy, body temperature, hormonal control of fuels, and intermediary metabolism. Mercifully, Wilmore makes few assumptions of physiologic expertise and avoids the acronyms that scare off those not constantly communicating in the field. Imperceptibly, Wilmore leads the reader from basic science into clinical application. As a finale, he provides illustrative cases with the proper nutritional program worked out on the basis of

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