Refeeding syndrome: multimodal monitoring and clinical manifestation of an internal severe neurotrauma.
Cerebral autoregulation
Compensatory reserve
Multimodal monitoring
Neurotrauma
Obesity surgery
Refeeding syndrome
Journal
Journal of clinical monitoring and computing
ISSN: 1573-2614
Titre abrégé: J Clin Monit Comput
Pays: Netherlands
ID NLM: 9806357
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
received:
03
05
2019
accepted:
27
04
2020
pubmed:
5
5
2020
medline:
29
10
2021
entrez:
5
5
2020
Statut:
ppublish
Résumé
Refeeding syndrome (RFS) is a rare, potentially life-threatening, condition seen in malnourished patients starting refeeding. RFS may provoke seizures and acute encephalopathy and can be considered an internal severe neurotrauma in need of specific treatment. The objective was to describe course of disease, treatment and, for the first time, multimodal monitoring output in a comatose patient suffering RFS. After gastric-banding and severe weight loss, the patient initiated self-starving and was transferred to our intensive care unit (ICU) following rapid refeeding. At arrival, seizures, decrease in consciousness (GCS 7) and suspected acute encephalitis was presented. Serum albumin was 8 g/l. Intracranial pressure (ICP), invasive blood pressure and electrocardiography (ECG) were monitored. Pressure reactivity (PR
Identifiants
pubmed: 32363496
doi: 10.1007/s10877-020-00513-y
pii: 10.1007/s10877-020-00513-y
pmc: PMC7223118
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
569-576Références
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