Report of a hidden case of overfeeding.
Nutritional support is essential to the care of the critically ill patient, but complications of overfeeding can occur. Precise metabolic measurement by indirect calorimetry can detect problems of nutrition and allow adjustment in caloric intake. This case study illustrates the complications of carbon dioxide retention and inability to wean from mechanical ventilation with subsequent prevention of further complications.
Takiguchi
S A
SA
Department of Research, Education and Quality Assurance, Queen's Medical Center, Honolulu, HI 96813.
D058186:Acute Kidney Injury / Q000209:etiology / Q000378:metabolism / Q000628:therapy*; D000328:Adult; D002153:Calorimetry, Indirect / Q000379:methods; D002149:Energy Intake; D005260:Female; D006323:Heart Arrest / Q000150:complications / Q000378:metabolism / Q000628:therapy*; D006801:Humans; D008946:Mitral Valve Stenosis / Q000601:surgery; D015596:Nutrition Assessment; D010289:Parenteral Nutrition, Total; D010530:Peritoneal Dialysis; D011183:Postoperative Complications / Q000378:metabolism / Q000628:therapy*; D012121:Respiration, Artificial; D015300:Ventilator Weaning