Zudin A Puthucheary1,2, Todd W Rice3,4. 1. William Harvey Research Institute, Barts and The London School of Medicine & Dentistry, Queen Mary University of London. 2. Adult Critical Care Unit, Royal London Hospital, London, UK. 3. Vanderbilt Institute for Clinical and Translational Research. 4. Division of Allergy, Department of Medicine, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Abstract
PURPOSE OF REVIEW: The COVID-19 pandemic has altered the profile of critical care services internationally, as professionals around the globe have struggled to rise to the unprecedented challenge faced, both in terms of individual patient management and the sheer volume of patients that require treatment and management in intensive care. This review article sets out key priorities in nutritional interventions during the patient journey, both in the acute and recovery phases. RECENT FINDINGS: The current review covers the care of the acutely unwell patient, and the evidence base for nutritional interventions in the COVID-19 population. One of the biggest differences in caring for critically ill patients with acute respiratory failure from COVID-19 is often the time prior to intubation. This represents specific nutritional challenges, as does nursing patients in the prone position or in the setting of limited resources. This article goes on to discuss nutritional support for COVID-19 sufferers as they transition through hospital wards and into the community. SUMMARY: Nutritional support of patients with severe COVID-19 is essential. Given the longer duration of their critical illness, combined with hypermetabolism and energy expenditure, patients with COVID-19 are at increased risk for malnutrition during and after their hospital stay.
PURPOSE OF REVIEW: The COVID-19 pandemic has altered the profile of critical care services internationally, as professionals around the globe have struggled to rise to the unprecedented challenge faced, both in terms of individual patient management and the sheer volume of patients that require treatment and management in intensive care. This review article sets out key priorities in nutritional interventions during the patient journey, both in the acute and recovery phases. RECENT FINDINGS: The current review covers the care of the acutely unwell patient, and the evidence base for nutritional interventions in the COVID-19 population. One of the biggest differences in caring for critically ill patients with acute respiratory failure from COVID-19 is often the time prior to intubation. This represents specific nutritional challenges, as does nursing patients in the prone position or in the setting of limited resources. This article goes on to discuss nutritional support for COVID-19 sufferers as they transition through hospital wards and into the community. SUMMARY: Nutritional support of patients with severe COVID-19 is essential. Given the longer duration of their critical illness, combined with hypermetabolism and energy expenditure, patients with COVID-19 are at increased risk for malnutrition during and after their hospital stay.
Authors: Zudin A Puthucheary; Ronan Astin; Mark J W Mcphail; Saima Saeed; Yasmin Pasha; Danielle E Bear; Despina Constantin; Cristiana Velloso; Sean Manning; Lori Calvert; Mervyn Singer; Rachel L Batterham; Maria Gomez-Romero; Elaine Holmes; Michael C Steiner; Philip J Atherton; Paul Greenhaff; Lindsay M Edwards; Kenneth Smith; Stephen D Harridge; Nicholas Hart; Hugh E Montgomery Journal: Thorax Date: 2018-07-06 Impact factor: 9.139
Authors: Brijesh V Patel; Shlomi Haar; Rhodri Handslip; John R Prowle; Zudin Puthucheary; Aldo A Faisal; Chaiyawan Auepanwiriyakul; Teresa Mei-Ling Lee; Sunil Patel; J Alex Harston; Feargus Hosking-Jervis; Donna Kelly; Barnaby Sanderson; Barbara Borgatta; Kate Tatham; Ingeborg Welters; Luigi Camporota; Anthony C Gordon; Matthieu Komorowski; David Antcliffe Journal: Intensive Care Med Date: 2021-05-11 Impact factor: 17.440
Authors: Todd W Rice; D Clark Files; Peter E Morris; Andrew C Bernard; Thomas R Ziegler; John W Drover; John P Kress; Kealy R Ham; Dominik J Grathwohl; Maureen B Huhmann; Juan B Ochoa Gautier Journal: JPEN J Parenter Enteral Nutr Date: 2018-09-27 Impact factor: 4.016
Authors: Tyler A Churchward-Venne; Philippe J M Pinckaers; Joey S J Smeets; Milan W Betz; Joan M Senden; Joy P B Goessens; Annemie P Gijsen; Ian Rollo; Lex B Verdijk; Luc J C van Loon Journal: Am J Clin Nutr Date: 2020-05-02 Impact factor: 7.045