Annual Update in Intensive Care and Emergency Medicine 2014 by Jean-Louis Vincent (Ed.), Jean-Louis Vincent

By Jean-Louis Vincent (Ed.), Jean-Louis Vincent

The Yearbook compiles the newest advancements in experimental and scientific study and perform in a single complete reference publication. The chapters are written via good well-known specialists within the box of in depth care and emergency medication. it truly is addressed to each person thinking about inner medication, anesthesia, surgical procedure, pediatrics, in depth care and emergency medicine.

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Annu Rev Physiol 69:69–85 7. Nemeth E, Tuttle MS, Powelson J (2004) Hepcidin regulates cellular iron efflux by binding to ferroportin and inducing its internalization. Science 306:2090–2093 8. Fleming RE, Ponka P (2012) Iron overload in human disease. N Engl J Med 366:348–359 9. Zhao N, Zhang AS, Enns CA (2013) Iron regulation by hepcidin. J Clin Invest 123:2337–2343 10. Corwin HL, Krantz SB (2000) Anemia of the critically ill: "acute" anemia of chronic disease. Crit Care Med 28:3098–3099 11. Kochan I (1973) The role of iron in bacterial infections, with special consideration of hosttubercle bacillus interaction.

Although the respiratory burst is needed for effective pathogen eradication, oxidative stress causes damage to vital organs and may contribute to the development of multiple organ failure. The kidney may be especially vulnerable as an acid environment, such as tubular urine, enhances the formation of reactive hydroxyl radicals. In support of this suggestion, iron and heme-induced oxidative stress caused by cardiopulmonary bypass during cardiac surgery was associated with the development of acute kidney injury [32].

Review on Iron, Immunity and Intensive Care 21 Inflammation-induced Changes in Iron Homeostasis A profound change in body iron distribution is one of the key features of anemia of critical illness, diverting iron from the circulation to storage sites. Iron is shifted from the extracellular to the intracellular compartment as a result of inflammation by induction of hepcidin production in the liver. This leads to the subsequent internalization and degradation of ferroportin on iron exporting cells, especially macrophages of the reticuloendothelial system.

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