title: [Paralysis caused by carbohydrate during intensive care].
abstract: In 30 septic, edematous intensive care patients a polyneuropathy occurred during treatment of peritonitis, pancreatitis, adult respiratory distress syndrome, or bronchopneumonia; 28 patients developed a complete tetraplegia. We believe this neuropathy to be an important cause of weaning failure. All patients had received parenteral or enteral nutrition with 240-800 g carbohydrate per day. Clinical data indicate that impairment of carbohydrate metabolism was the essential cause of the polyneuropathy. In 14 patients carbohydrate administration was continued; 13 died without neuromuscular recovery. In 16 patients carbohydrate nutrition was reduced to 100-250 g per day after the occurrence of tetraplegia; 13 of these made a full neurologic recovery.
authors.affiliation: Anaesthesieabteilung, Johanna-Etienne-Krankenhaus Neuss.
authors.forename: E
authors.initials: E
authors.lastname: Waldhausen
authors.forename: G
authors.initials: G
authors.lastname: Keser
mesh_terms: D000368:Aged; D001996:Bronchopneumonia / Q000628:therapy; D003422:Critical Care; D004040:Dietary Carbohydrates / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D010195:Pancreatitis / Q000628:therapy; D010288:Parenteral Nutrition; D010538:Peritonitis / Q000628:therapy; D011782:Quadriplegia / Q000209:etiology*; D012128:Respiratory Distress Syndrome / Q000628:therapy
chemical_list: D004040:Dietary Carbohydrates
vernacular_title: Lähmungen durch Kohlenhydrate unter der Intensivtherapie.