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Survey on Nutrition Delivery – Tuesday Tube Facts

Did you know…?

A survey about nutrition delivery in critically ill Covid-19 patients found 83% of caregivers attempted to feed by the intragastric route, but only 9% indicated that energy/protein needs were achieved in their patients.[1]

References:

  1. Suliman, S, McClave, SA, Taylor, BE, Patel, J, Omer, E, Martindale, RG. Barriers to nutrition therapy in the critically ill patient with COVID-19. JPEN J Parenter Enteral Nutr. 2021; 1– 12. https://doi.org/10.1002/jpen.2263.

Meeting the protein needs of Covid patients-Tuesday Tube Facts

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Survey results (n=198) found that nutritional therapy based on the EN intragastric infusion have been largely unsuccessful in achieving the protein needs of critically ill COVID-19 patients.[1]

References:

  1. Suliman S, McClave SA, Taylor BE, Patel J, Omer E, Martindale RG. Barriers to Nutritional Therapy in the Critically Ill Patient with COVID-19 Disease. JPEN J Parenter Enteral Nutr. 2021 Sep 5.

ICU Nutritional Practice-Tuesday Tube Facts

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For enteral Covid-19 patients, feeding tube placement and aspiration are potential aerosol generating procedures.[1]

Tip to decrease Covid-19 exposure due to aerosol generating procedures: Decrease exposure by quicker gastric tube placement rather than postpyloric placement.[3]

References:

  1. Rimensberger, Peter C., et al. “Caring for Critically Ill Children with Suspected or Proven Coronavirus Disease 2019 Infection: Recommendations by the Scientific Sections’ Collaborative of the European Society of Pediatric and Neonatal Intensive Care.” Pediatric Critical Care Medicine, vol. 22, no. 1, 2020, pp. 56–67., doi:10.1097/pcc.0000000000002599.

Timing of nutrition for Covid-19 patients-Tuesday Tube Facts

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For Covid-19 patients that require ICU care, the timing of enteral nutrition delivery is an important issue to improve mortality and reduce infections.[1]

Initiating early enteral nutrition within 24-36 hours of admission to the ICU or within 12 hours of intubation and placement on mechanical ventilation should be the goal to address critical care nutritional needs of Covid-19 patients.[3]

References:

  1. Martindale, R., Patel, J., Taylor, B., Warren, M., McClave, S. Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care. Reviewed and Approved by the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition. Updated May 26, 2020.

COVID Nutrition Recommendations-pump-Tuesday Tube Facts

Did you know…?

For COVID-19 patients requiring a feeding tube, continuous enteral nutrition via pump is recommended to decrease exposure to the healthcare provider.[1]

In case of pump shortages, infusion by gravity drain is preferred over bolus feeding.[1]

References:

  1. Patel JJ, Martindale RG, McClave SA. Relevant Nutrition Therapy in COVID-19 and the Constraints on Its Delivery by a Unique Disease Process. Nutr Clin Pract. 2020;35(5):792-799. doi:10.1002/ncp.10566