Even though well tolerated, nutritional treatment has a potential risk of. Pdf refeeding syndrome is a lifethreatening condition that often goes. Management of refeeding syndrome in medical inpatients. Refeeding syndrome is a lifethreatening condition that often goes unrecognized.
Refeeding syndrome describes the metabolic disturbances and clinical sequelae that occur in response to nutritional rehabilitation of patients who are moderate to. Com plications of the refeeding syndrome can include electro lyte abnormalities, heart failure, respiratory failure, and death 1,2,3,4. This syndrome is of particular import ance to critically ill patients, who can be moved from the starved state to the fed state rapidly via enteral or parenteral nutrition. Management and prevention of refeeding syndrome in medical. Rio et al 20 and mehler et al 2010 have proposed the following strategies to avoid the refeeding syndrome. Refeeding is reintroducing food after a period of malnourishment or starvation. No randomised controlled trials of treatment have been published, although there are.
Ketone bodies and free fatty acids replace glucose as a major energy. It is characterized by increased serum glucose, electrolyte disturbances particularly hypophosphatemia, hypokalemia, and hypomagnesemia, vitamin depletion. Its caused by sudden shifts in the electrolytes that help your body metabolize food. The importance of the refeeding syndrome johns hopkins medicine. Refeeding syndrome is a syndrome consisting of metabolic disturbances that occur as a result of reinstitution of nutrition to patients who are starved, severely malnourished or metabolically stressed due to.
Severely malnourished patients are at very high risk of developing features of the refeeding syndrome. Review article the importance of the refeeding syndrome. Local protocols for the identification, prevention and treatment of refeeding syndrome should be part of a hospitalwide routine nutritional. Refeeding syndrome is caused by the rapid introduction of feeds or fluids that causes an intracellular shift of phosphate, potassium and magnesium leading to low serum levels. Refeeding syndrome rfs can be a lifethreatening metabolic condition. Jcm free fulltext management of refeeding syndrome in. Aspen consensus recommendations for refeeding syndrome. Make your own animated videos and animated presentations for free. Refeeding is the process of reintroducing food after malnourishment or starvation. If electrolytes become imbalanced as digestion resumes, a person can develop refeeding syndrome. Refeeding syndrome is a serious and potentially fatal condition that can occur during refeeding.
The patient was managed for the manifestations of refeeding syndrome. Cnsg east cheshire nhs trust guidelines for prevention and management of refeeding syndrome in adults page 6 of 11 4. Screening, incidence, and treatment during parenteral. Adherence to the nice guidelines for preventing and treating refeeding syndrome boxes 2 and 3 should reduce the incidence and associated complications of the syndrome. These shifts result from hormonal and metabolic changes and may cause serious clinical complications.