medigraphic.com
ENGLISH

Médica Sur

  • Mostrar índice
  • Números disponibles
  • Información
    • Información general        
    • Directorio
  • Publicar
    • Instrucciones para autores        
  • medigraphic.com
    • Inicio
    • Índice de revistas            
    • Registro / Acceso
  • Mi perfil

2008, Número 2

<< Anterior Siguiente >>

Med Sur 2008; 15 (2)


Síndrome de realimentación en el paciente críticamente enfermo

Carrillo ER, Escobar AE, Flores GLE, Lezama MJI
Texto completo Cómo citar este artículo Artículos similares

Idioma: Español
Referencias bibliográficas: 37
Paginas: 93-99
Archivo PDF: 164.13 Kb.


PALABRAS CLAVE

Síndrome de realimentación, hipofosfatemia, desnutrición, apoyo nutricional.

RESUMEN

El síndrome de realimentación es una alteración metabólica y del balance de líquidos y electrólitos en pacientes graves desnutridos que inician apoyo nutricional. Los factores de riesgo asociados que predisponen a este síndrome son pérdida acelerada de peso, quimioterapia, radioterapia, alcoholismo y enfermedades relacionadas con malabsorción. Las manifestaciones clínicas son secundarias fundamentalmente a hipofosfatemia e incluyen insuficiencia cardiaca, debilidad muscular, disfunción inmunitaria y hematológica, así como trastornos digestivos y del sistema nervioso, lo que puede llevar a la muerte. La identificación de pacientes con alto riesgo para desarrollar este síndrome y su manejo oportuno son importantes para disminuir su incidencia y morbimortalidad.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Marinella MA. The refeeding syndrome: implications for the inpatient rehabilitation unit. Am J Phys Med Rehabil 2004; 83: 65-68.

  2. Marinella MA. The refeeding syndrome and hypophosphatemia. Nutr Rev 2003; 61: 320-323.

  3. Solomon SM, Kirby DF. The refeeding syndrome: A review. JPEN J Parenter Enteral Nutr 1990; 14: 90-97.

  4. Crook MA, Hally V, Panteli JV. The importance of the refeeding syndrome. Nutrition 2001; 17: 632-637.

  5. Marinella MA. Refeeding syndrome and hypophosphatemia. J Intens Care Medicine 2005; 20(3): 155-159.

  6. Brooks MJ, Melnik G. The refeeding syndrome: An approach to understanding its complications and preventing its occurrence. Pharmacotherapy 1995; 15: 713-726.

  7. Terlevich A, Hearing SD, Woltersdorf WW et al. Refeeding syndrome: Effective and safe treatment with phosphates polyfusor. Aliment Pharmacol Ther 2003; 17: 1325-1329.

  8. Schnitker MA, Mattman PE, Bliss TL. A clinical study of malnutrition in Japanese prisoners of war. Ann Intern Med 1951; 35: 69.

  9. Burger GCE, Drummond JC, Sandstead HR. Malnutrition and starvation in western Netherlands, September 1944-July 1945. (Parts 1 and 2). The Hague: General State Printing Office. (1948).

  10. Schnitker MA, Mattman PE, Bliss TL. A clinical study of malnutrition in Japanese prisoners of war. Annuals of Internal Medicine 1951: 35, 69-96.

  11. Lauts NM. Management of the patient with refeeding syndrome. J Infus Nurs 2005; 28(5): 337-42.

  12. Ornstein RM, Golden NH, Jacobson MS, Shenker IR. Hypophosphatemia during nutritional rehabilitation in anorexia nervosa: implications for refeeding and monitoring. J Adolesc Health 2003; 32: 83-88.

  13. O’Donnell TF, Clowes HA, Blackburn GL et al. Proteolysis association with a deficit of peripheral energy fuel substrates in septic man. Surgery 1976; 80: 192.

  14. Allison SP. Effect of insulin on metabolic response to injury. JPEN 1980; 4: 175.

  15. Subramanian R, Khadori R. Severe hypophosphatemia: pathophysiologic implications, clinical presentations, and treatment. Medicine (Baltimore). 2000; 79: 1-8.

  16. Marik PE, Bedigian MK. Refeeding hypophosphatemia in critically ill patients in an intensive care unit. Arch Surg 1996; 131: 1043-1047.

  17. Mallett M. Refeeding syndrome. Age Ageing 2002; 31: 65-66.

  18. Weisinger JR, Bellorin-Font E. Magnesium and phosphorus. Lancet 1998; 352: 391-396.

  19. Dwyer K, Barone JE, Rogers JF. Severe hypophosphatemia in postoperative patients. Nutr Clin Pract 1992; 7: 279-283.

  20. Bringhurst FR, Demay MB, Krane SM, Kronenberg HM. Bone and mineral metabolism in health and disease. In: Kasper DL, Braunwald E, Fauci AS et al, eds. Harrison’s Principles of Internal Medicine. 16th ed. New York: McGraw-Hill, 2005: 2238-2249.

  21. Shiber JR, Mattu A. Serum phosphate abnormalities in the emergency department. J Emerg Med 2002; 23: 395-400.

  22. Klein CJ, Stanek GS, Wiles CE. Overfeeding macronutrients to critically ill adults: metabolic complications. J Am Diet Assoc 1998; 98: 795-806.

  23. Prankerd TAJ, Altman KI. Metabolism of phosphorus in red blood cells. Biochem J 1954; 58: 622.

  24. Kohn MR, Goleen NH, Shenker IR. Cardiac arrest and delirium: presentations of the refeeding syndrome in severely malnourished adolescents with anorexia nervosa. J Adolesc Health 1998; 22: 239-243.

  25. Huang YL, Fang CT, Tseng MC. Lee YJ, Lee MB. Life-threatening refeeding syndrome in a severely malnourished anorexia nervosa patient. J Formos Med Assoc 2001; 100: 343-346.

  26. Newman JH, Neff TA, Ziporin P. Acute respiratory failure associated with hypophosphataemia. N Engl J Med 1977; 296: 1101.

  27. Bloom WL. Carbohydrate and water balance. Am J Clin Nutr 1967; 20: 157.

  28. Wolfe RR, Allsop JR, Burke JF. Glucose metabolism in man. Response to intravenous glucose infusion. Metabolism 1979; 28: 210.

  29. Thiebaud D, Schutz Y, Acheson K et al. Energy cost of glucose storage in human subjects during glucose-insulin infusions. Am J Physiol 1983; 244: 216.

  30. Saito T, Tojo K, Miyashita Y, Tominaga M, Masai A, Tajima N. Acute liver damage and subsequent hypophosphatemia in malnourished patients. Case reports and review of literature. Int J Eat Disord 2007, en publicación.

  31. Crook MA. Lipid clearance and total parenteral nutrition: the importance of monitoring plasma lipids. Nutrition 2000; 16: 774.

  32. Reuler JB, Girard DE, Cooney TG. Wernicke’s encephalopathy. N Engl J Med 1985; 312: 1035.

  33. Drenick EJ, Joven CB, Swendseid ME. Occurrence of acute Wernicke’s encephalopathy during prolonged starvation for the treatment of obesity. N Engl J Med 1966; 274: 937.

  34. Btaiche IF, Khalidi N. Metabolic complications of parenteral nutrition in adults, part 1. Am J Health-Syst Pharm 2004; 61: 1938-1949.

  35. American Medical Association Department of Foods and Nutrition Advisory Group. Multivitamin preparations for parenteral use, 1975. J Parenter Enteral Nutr. 1979; 3: 258-62.

  36. Rossen GH, Boullata JI, O´rangers EA et al. Intravenous phosphate repletion regimen for critical ill patients with moderate hypophosphatemia. Crit Care Med 1995; 23: 1204-1210.

  37. Hay WW Jr, Thureen PJ. Indirect calorimetry: a potential but as yet unrealized technique for guiding nutritional management. J Pediatr (Rio J) 2007; 83(6): 490-3.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Med Sur. 2008;15

ARTíCULOS SIMILARES

CARGANDO ...