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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.

Covid19 prone EN-Tuesday Tube Facts

Did you know…?

For COVID-19 ICU patients in the prone position, enteral nutrition in the stomach is generally well-tolerated.[1]

On occasion, postpyloric placement of the feeding tube may be indicated. Placement of postpyloric tubes increases exposure to SARS‐CoV‐2, and thus their use should be considered only on a case‐by‐case basis in patients with COVID‐19.[1]

References:

  1. Patel, J.J., Martindale, R.G. and McClave, S.A. (2020), Relevant Nutrition Therapy in COVID‐19 and the Constraints on Its Delivery by a Unique Disease Process. Nutrition in Clinical Practice, 35: 792-799. doi:10.1002/ncp.10566.

COVID EN Tube Type-Tuesday Tube Facts

Did you know…?

Small-diameter feeding tubes (10-12 French) are recommended for COVID-19 patients in the ICU who require enteral nutrition.[1]

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. May 27, 2020. https://doi.org/10.1002/jpen.1930