medigraphic.com
ISSN 0185-6014 (Print)
Órgano oficial de difusión de la Federación Mexicana de Patología Clínica, AC y de la Asociación Latinoamericana de Patología Clínica/Medicina de Laboratorio

2019, Number 3

<< Back Next >>

Rev Mex Patol Clin Med Lab 2019; 66 (3)

Refeeding syndrome in the critically ill patient: From metabolism to bedside

Galindo MCA, Mandujano GJ, Pérez FMI, Mora CM

Language: Spanish
References: 17
Page: 154-159
PDF size: 242.29 Kb.


ABSTRACT

Feedback syndrome is a potentially lethal condition that occurs in patients who restart nutrient delivery after prolonged periods of fasting or in malnourished patients. In the critically ill patient, early initiation of nutritional support (‹ 48 hours on admission to the Intensive Care Unit) has been recommended in order to improve clinical outcomes, although the dose of calories and other macronutrients continues to be debated. This condition is little recognized in daily practice, therefore prevention and management are topics little known to clinical staff. This article provides a review of the causes, consequences, prevention and management of feedback syndrome in critically ill adult patients.


REFERENCES

  1. Crook MA. Refeeding syndrome: problems with definition and management. Nutrition. 2014; 30 (11-12): 1448-1455. doi: 10.1016/j.nut.2014.03.026.

  2. Koekkoek WAC, Van Zanten ARH. Is refeeding syndrome relevant for critically ill patients? Curr Opin Clin Nutr Metab Care. 2018; 21 (2): 130-137. doi: 10.1097/MCO.0000000000000449.

  3. Flesher ME, Archer KA, Leslie BD, McCollom RA, Martinka GP. Assessing the metabolic and clinical consequences of early enteral feeding in the malnourished patient. JPEN J Parenter Enteral Nutr. 2005; 29 (2): 108-117.

  4. Boateng AA, Sriram K, Meguid MM, Crook M. Refeeding syndrome: treatment considerations based on collective analysis of literature case reports. Nutrition. 2010; 26 (2): 156-167. doi: 10.1016/j.nut.2009.11.017.

  5. National Collaborating Centre for Acute Care. Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition. London: National Collaborating Centre for Acute Care (UK); 2006. PMID: 21309138.

  6. Matthews KL, Palmer MA, Capra SM. The accuracy and consistency of nutrition care process terminology use in cases of refeeding syndrome. Nutr Diet. 2018; 75 (3): 331-336. doi: 10.1111/1747-0080.12389.

  7. Khan LU, Ahmed J, Khan S, Macfie J. Refeeding syndrome: a literature review. Gastroenterol Res Pract. 2011; 2011. pii: 410971. doi: 10.1155/2011/410971.

  8. Fernández-López MT, López-Otero MJ, Álvarez-Vázquez P, Arias-Delgado J, Varela-Correa JJ. Refeeding syndrome. Farm Hosp. 2009; 33 (4): 183-193. doi: 10.1016/S1130-6343(09)72163-4.

  9. Crook MA, Hally V, Panteli JV. The importance of the refeeding syndrome. Nutrition. 2001; 17 (7-8): 632-637. doi: 10.1016/S0899-9007(01)00542-1.

  10. Temprano Ferreras JL, Bretón Lesmes I, De la Cuerda Compés C, Camblor Álvarez M, Zugasti Murillo A, García Peris P. Síndrome de realimentación. Revista Clínica Española. 2005; 205 (2): 79-86.

  11. Collie JTB, Greaves RF, Jones OAH, Lam Q, Eastwood GM, Bellomo R. Vitamin B1 in critically ill patients: needs and challenges. Clin Chem Lab Med. 2017; 55 (11): 1652-1668. doi: 10.1515/cclm-2017-0054.

  12. Manzanares W, Hardy G. Thiamine supplementation in the critically ill. Curr Opin Clin Nutr Metab Care. 2011; 14 (6): 610-617. doi: 10.1097/MCO.0b013e32834b8911.

  13. Kraft MD, Btaiche IF, Sacks GS. Review of the refeeding syndrome. Nutr Clin Pract. 2005; 20 (6): 625-633. doi: 10.1177/0115426505020006625.

  14. Doig GS, Simpson F, Heighes PT, Bellomo R, Chesher D, Caterson ID et al. Restricted versus continued standard caloric intake during the management of refeeding syndrome in critically ill adults: a randomised, parallel-group, multicentre, single-blind controlled trial. Lancet Respir Med. 2015; 3 (12): 943-952. doi: 10.1016/S2213-2600(15)00418-X.

  15. Olthof LE, Koekkoek WACK, van Setten C, Kars JCN, van Blokland D, van Zanten ARH. Impact of caloric intake in critically ill patients with, and without, refeeding syndrome: A retrospective study. Clin Nutr. 2018; 37 (5): 1609-1617. doi: 10.1016/j.clnu.2017.08.001.

  16. Tian F, Wang X, Gao X, Wan X, Wu C, Zhang L et al. Effect of initial calorie intake via enteral nutrition in critical illness: a meta-analysis of randomised controlled trials. Crit Care. 2015; 19: 180. doi: 10.1186/s13054-015-0902-0.

  17. Song JH, Lee HS, Kim SY, Kim EY, Jung JY, Kang YA et al. The influence of protein provision in the early phase of intensive care on clinical outcomes for critically ill patients on mechanical ventilation. Asia Pac J Clin Nutr. 2017; 26 (2): 234-240.




2020     |     www.medigraphic.com