Respuesta metabólica en el trauma

traumatic aggression leads to significant metabolic processes, in proportion to the intensity of the aggression suffered, and although these are more obvious in the first weeks after trauma, they remain and demand an appropriate nutritional support. the characteristics and the different phases of systemic response to trauma are described. also, authors make reference to the interaction neuro-endocrine-immune in the response and to the metabolic consequences after injury, determined by means of the updated revision of documents and of national and international journals to deepen in the study of the major metabolic alterations triggering the trauma. the abilities of the organism to survive, when occur a significant trauma, may be enough, hence the need of support which is decisive. to understand the elements described in the immuno-metabolic response and the septic complication, are vital, as well as the control of alterations after injury.