title: [The importance of nutritional support for head injured patients].
abstract: Serious head injuries lead to any metabolic disorders such as, in particular a protein types cataolism and immunodepression. Early nutritional support for the patient in this case is definitely beneficial. It should be started as soon as the patient is out of danger. Enteral feeding should be preferred to parenteral feeding. In case of disorder of the bavel habit or of malabsorption, parenteral protein-energy intake should be prescribed for a short period. In case of neuroagression, a suppementary intake of amino-acids (glutamine, arginine) seems beneficial for a betten immuniy defence system.
authors.affiliation: Service d'anesthésie-réanimation, Hôpital Mohamed Tahar Maamouri, Nabeul Tunisie.
authors.forename: Mahdi
authors.initials: M
authors.lastname: Boussofara
authors.forename: Chokri
authors.initials: C
authors.lastname: Kouas
authors.forename: Marc
authors.initials: M
authors.lastname: Raucoules
mesh_terms: D006259:Craniocerebral Trauma / Q000276:immunology* / Q000628:therapy*; D006801:Humans; D018529:Nutritional Support; D009894:Opportunistic Infections / Q000276:immunology / Q000517:prevention & control