To summarize the nursing experience of 89 ICU patients complicated with refeeding syndrome. Nursing points included formulation of nutritional support programs based on nutritional assessment,implementation of sequential nutritional support,correction of electrolyte imbalance mainly due to hypophosphatemia. All 89 patients were successfully cured and discharged from hospital.
WANG Haiyan
,
LONG Xingxia
,
WU Wenying
,
ZENG Fei
,
TANG Jiaying
,
YAO Meiqi
,
FENG Xiuqin
. Sequential nutritional care for ICU patients with nutritional support complicated with refeeding syndrome[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023
, 4(2)
: 129
-131
.
DOI: 10.3761/j.issn.2096-7446.2023.02.006
[1] Reber E,Friedli N,Vasiloglou MF,et al.Management of refeeding syndrome in medical inpatients[J]. J Clin Med,2019, 8(12):E2202.
[2] 崔钰,盖恬恬,何月,等. 危重症患者再喂养综合征识别及预防的研究进展[J]. 中华护理杂志,2019,54(9):1419-1422.
Cui Y,Gai TT,He Y,et al.The prevention of refeeding syndrome:a review[J]. Chin J Nurs,2019,54(9):1419-1422.
[3] 龙兴霞,姚梅琪,姚金兰,等. ICU肠内营养患者再喂养综合征发生现状及影响因素研究[J]. 中华护理杂志,2021,56(6):818-823.
Long XX,Yao MQ,Yao JL,et al.Investigation and analysis of factors related to refeeding syndrome in ICU patients undergoing enteral nutrition[J]. Chin J Nurs,2021,56(6):818-823.
[4] Kondrup J,Allison SP,Elia M,et al.ESPEN guidelines for nutrition screening 2002[J]. Clin Nutr,2003,22(4):415-421.
[5] 李伦超,单凯,赵雅萍,等. 2018年欧洲肠外肠内营养学会重症营养治疗指南(摘译)[J]. 临床急诊杂志,2018,19(11):723-728.
Li LC,Shan K,Zhao YP,et al.European Society for Parenteral Nutrition guidelines for critical nutrition treatment 2018(excerpt)[J]. J Clin Emerg,2018,19(11):723-728.
[6] da Silva JSV,Seres DS,Sabino K,et al. ASPEN consensus recommendations for refeeding syndrome[J]. Nutr Clin Pract,2020,35(2):178-195.
[7] Olthof LE,Koekkoek WACK,van Setten C,et al. Impact of caloric intake in critically ill patients with,and without,refeeding syndrome:a retrospective study[J]. Clin Nutr,2018,37(5):1609-1617.
[8] McClave SA,Taylor BE,Martindale RG,et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient[J]. J Parenter Enteral Nutr,2016,40(2):159-211.
[9] 王婷. 重症患者肠内营养喂养不耐受风险评估量表的研制[D]. 重庆:第三军医大学,2016.
Wang T.Development of enteral feeding intolerance risk assessment scale for critically ill patients[D]. Chongqing:Third Military Medical University,2016.
[10] 米元元,黄培培,董江,等. 危重症患者肠内营养不耐受预防及管理的最佳证据总结[J]. 中华护理杂志,2019,54(12):1868-1876.
Mi YY,Huang PP,Dong J,et al.Best evidence summary for prevention and management of enteral feeding intolerance in critically ill patients[J]. Chin J Nurs,2019,54(12):1868-1876.
[11] McClave SA,Taylor BE,Martindale RG,et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient:society of critical care medicine(SCCM) and American society for parenteral and en-teral nutrition(A.S.P.E.N.)[J]. JPEN J Parenter Enteral Nutr,2016,40(2):159-211.
[12] 郭继武,祁玉璟,高彩艳,等. 再喂养综合征的诊断与治疗[J]. 中华消化外科杂志,2020,19(10):1108-1110.
Guo JW,Qi YJ,Gao CY,et al.Diagnosis and treatment of refeeding syndrome[J]. Chin J Dig Surg,2020,19(10):1108-1110.