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Meeting the protein needs of Covid patients-Tuesday Tube Facts

Did you know…?

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

Malnutrition costly-Tuesday Tube Facts

Did you know…?

Patients with malnutrition had 3 times greater length of stay and costs than patients who did not have a malnutrition diagnosis.[1]

Hospital patients on enteral nutrition often receive only 45-65% of the ordered nutrition.[2]

References:

  1. Corkins, M., Guenter, P., DiMario-Ghalili, R., Jensen, G., Malone, A., Miller, S., Patel, V., Plogsted, S., Resnick, H. Malnutrition Diagnoses in Hospitalized Patients. Journal of Pareneteral and Enteral Nutrition. 2014. 38(2): 186-195.
  2. Parrish, C., McCray, S. Part I Enteral Feeding Barriers: Pesky Bowel Sounds & Gastric Residual Volumes. Practical Gastroenterology. 2019. 183: 35-50.