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Feeding the Critically Ill Mechanically Ventilated Patient during the Covid-19 Epidemic

 2020 EuDAP Report / Posted 2 months ago by admin / 12 views

In Israel dietitians have expedited a joint position paper regarding the nutritional treatment of patients on prolonged mechanical ventilation – it was published on 23.3.2020. It was written by leading dietitians from the ministry of health and Israeli Dietetic Association.

Hebrew version see here – with list of references in English on page 21

English version released in September 2020.

 

Contents
Introduction ……………………………………………………………………………………………………………………………….3
What is known so far about the characteristics of the critically ill patient infected with COVID-19? ..3
Information gathering and staff behavior during the coronavirus epidemic ……………………….. 4
Metabolism of the Critically Ill Patient………………………………………………………………………………………….5
Nutritional Status and Evaluation…………………………………………………………………………………………………5
Early Enteral Nutrition (EEN) ……………………………………………………………………………………………………….6
Table 1: Recommendations for Energy and Protein requirements…………………………………….. 7
Choosing a Nutrition Formula ……………………………………………………………………………………………………..8
Nutrition Follow-up …………………………………………………………………………………………………………………….8
ARDS – acute respiratory distress syndrome ………………………………………………………………………………10
Prone position …………………………………………………………………………………………………………… 11
ECMO – Extracorporeal Membrane Oxygenation ………………………………………………………….. 12
Pharmaconutrition ……………………………………………………………………………………………………………………12
Vitamin C ………………………………………………………………………………………………………………….. 12
Omega – 3 ………………………………………………………………………………………………………………… 13
Transitioning to oral feeding post extubation……………………………………………………………………………..14

Contact details

ATID - The Israeli Dietetic associationIsrael https://www.atid-eatright.org.il/

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