Document Detail


Refeeding in the ICU: an adult and pediatric problem.
MedLine Citation:
PMID:  21102317     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: To describe the etiology and complications of the refeeding syndrome.
RECENT FINDINGS: Complications of the refeeding syndrome can include electrolyte abnormalities, heart failure, respiratory failure, and death. This syndrome is of particular importance to critically ill patients, who can be moved from the starved state to the fed state rapidly via enteral or parenteral nutrition. There are a variety of risk factors for the development of the refeeding syndrome. All of these risk factors are tied together by starvation physiology. Case reports and case series continue to be reported, suggesting that this entity continues to exist in critically ill patients. Initiation of enteral nutrition to patients with starvation physiology should be gradual and careful monitoring of electrolytes and organ function is critical during the early stages of refeeding.
SUMMARY: The refeeding syndrome remains a significant issue in critically ill patients. Knowledge of the risk factors and the clinical signs of the refeeding syndrome is important to optimize outcomes.
Authors:
Matthew C Byrnes; Jessica Stangenes
Related Documents :
19268717 - Two cases of septo-optic dysplasia-plus syndrome with epilepsy and mirror hand movements.
10350737 - Medical exclusion from sport.
12485207 - Sunct syndrome: priming of symptomatic periods and worsening of symptoms by treatment w...
20404307 - Neurologic manifestations of the cryopyrin-associated periodic syndrome.
11246717 - Drawings by individuals with williams syndrome: are people different from shapes?
20527277 - Steven johnson syndrome in a patient with cushing's disease.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current opinion in clinical nutrition and metabolic care     Volume:  14     ISSN:  1535-3885     ISO Abbreviation:  Curr Opin Clin Nutr Metab Care     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9804399     Medline TA:  Curr Opin Clin Nutr Metab Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  186-92     Citation Subset:  IM    
Affiliation:
Division of Surgical Critical Care, University of Minnesota, Minneapolis, Minnesota, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Managing gastric residual volumes in the critically ill patient: an update.
Next Document:  Vitamin D, neurocognitive functioning and immunocompetence.