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Data on malnutrition and Covid-19 – Tuesday Tube Facts

Did you know…?

Those recovering after serious illnesses such as Covid-19 often need significant rehabilitation because of profound weakness and loss of muscle mass. Emerging data highlights the prevalence of inadequate nutrition therapy and malnutrition, which is likely contributing to these long-lasting effects.[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

Survey on Nutrition Delivery – Tuesday Tube Facts

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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

Did you know…?

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.