{"id":6304,"date":"2012-03-22T00:09:17","date_gmt":"2012-03-22T04:09:17","guid":{"rendered":"http:\/\/insidesurgery.com\/?p=6304"},"modified":"2013-05-21T18:16:12","modified_gmt":"2013-05-21T22:16:12","slug":"refeeding-syndrome","status":"publish","type":"post","link":"https:\/\/insidesurgery.com\/2012\/03\/refeeding-syndrome\/","title":{"rendered":"Refeeding Syndrome"},"content":{"rendered":"<p>Refeeding syndrome occurs when a previously starved patient receives an abrupt onset of full or near full caloric requirements.<\/p>\n<p><!--more--><\/p>\n<p>Consideration of this syndrome is not infrequent in the critically ill patients in the ICU setting. Refeeding syndrome first began to get significant attention of the medical community after deaths occurred when World War II concentration camp survivors were fed by their well-meaning liberators.<\/p>\n<p><a href=\"http:\/\/insidesurgery.com\/2012\/03\/refeeding-syndrome\/icu2-2\/\" rel=\"attachment wp-att-7483\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/insidesurgery.com\/wp-content\/uploads\/2012\/03\/icu21.jpg\" alt=\"refeeding syndrome\" width=\"421\" height=\"291\" class=\"aligncenter size-full wp-image-7483\" \/><\/a><\/p>\n<p>Refeeding syndrome occurs 1-7 days after nutrition is started and is characterized by a massive intracellular influx of potassium and phosphorus, causing low serum levels of these components.<\/p>\n<p>This can result in hemolysis, thrombocytopenia, seizures, cardiomyopathy, decreased leukocyte chemotaxis, and diaphragm dysfunction.<\/p>\n<p>The astute clinician will perform close surveillance of serum values of phosphorus and <a href=\"http:\/\/en.wikipedia.org\/wiki\/Potassium_chloride\">potassium<\/a> when a previously starved patient begins feeding. Generally, partial feeds of 10-15 kcal\/kg are recommended initially.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Refeeding syndrome occurs when a previously starved patient receives an abrupt onset of full or near full caloric requirements.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[13],"tags":[351,183,4831,4830,4832],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Refeeding Syndrome - InsideSurgery Medical Information Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/insidesurgery.com\/2012\/03\/refeeding-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Refeeding Syndrome - 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