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Refeeding Syndrome in the Critically Ill: a Literature Review and Clinician’s Guide
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Refeeding Syndrome in the Critically Ill: a Literature Review and Clinician’s Guide
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Journal Article
Refeeding Syndrome in the Critically Ill: a Literature Review and Clinician’s Guide
2019
Overview
Purpose of Review
To provide an overview of current methods of diagnosis and management of refeeding syndrome in the critically ill patient population.
Recent Findings
Despite recent publications indicating refeeding syndrome (RFS) is an ongoing problem in critically ill patients, there is no standard for the diagnosis and management of this life-threatening condition. There is not a “gold standard” nutrition assessment tool for the critically ill. Currently, the National Institute for Health and Clinical Excellence criteria represent the best clinical assessment tool for RFS
.
Diagnosis and management with the help of a multidisciplinary metabolic team can decrease morbidity and mortality.
Summary
Although a universal definition of RFS has yet to be defined, the diagnosis is made in patients with moderate to severe malnutrition who develop electrolyte imbalance after beginning nutritional support. The imbalances potentially can lead to cardiac, pulmonary, and gastrointestinal complications and failure. Standardizing a multidisciplinary nutrition care plan and formulating a protocol for critically ill patients who develop RFS can potentially decrease complication rates and overall mortality.
Publisher
Springer US,Springer Nature B.V
Subject
