Open AccessThe Time for Parenteral Nutrition is Now: 12 Months Caring for Patients with Severe COVID-19
Author(s) -
Claudio de Lima Barbosa
Publication year - 2021
Publication title -
international journal of nutrology
Language(s) - English
Resource type - Journals
eISSN - 2595-2854
pISSN - 1984-3011
DOI - 10.1055/s-0041-1728679
Subject(s) - covid-19 , medicine , intensive care medicine , parenteral nutrition , context (archaeology) , pandemic , gastroparesis , prone position , disease , gastric emptying , surgery , infectious disease (medical specialty) , paleontology , stomach , virology , outbreak , biology
The coronavirus disease 2019 (COVID-19) pandemic has brought new challenges to adequate nutrition, especially in critically ill patients. Physicians caring for these patients face great difficulties, including a different pathophysiology compared with other diseases, inadequately trained personnel, pressure from the media and family members, logistical and economic obstacles, and lack of robust medical evidence. Although the literature on COVID-19 is still limited, evidence demonstrates the need to reevaluate the use of effective nutritional support in this unprecedented, challenging clinical context. Supplemental parenteral nutrition must be considered due to the energy expenditure from COVID-19, the difficulty in achieving protein and energy goals in patients under enteral nutrition in prone position, and the worsened gastroparesis related to high doses of sedative/neuromuscular blocking agents.