Nutrition management for critically and acutely unwell hospitalised patients with coronavirus disease 2019 (COVID-19) in Australia and New Zealand

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
Lee-Anne S ChappleEmma J Ridley

Abstract

Coronavirus disease 2019 (COVID-19) results from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The clinical features and subsequent medical treatment, combined with the impact of a global pandemic, require specific nutritional therapy in hospitalised adults. This document aims to provide Australian and New Zealand clinicians with guidance on managing critically and acutely unwell adult patients hospitalised with COVID-19. These recommendations were developed using expert consensus, incorporating the documented clinical signs and metabolic processes associated with COVID-19, the literature from other respiratory illnesses, in particular acute respiratory distress syndrome, and published guidelines for medical management of COVID-19 and general nutrition and intensive care. Patients hospitalised with COVID-19 are likely to have preexisting comorbidities, and the ensuing inflammatory response may result in increased metabolic demands, protein catabolism, and poor glycaemic control. Common medical interventions, including deep sedation, early mechanical ventilation, fluid restriction, and management in the prone position, may exacerbate gastrointestinal dysfunction and affect nutritional intake. Nutrition care shoul...Continue Reading

Citations

Apr 29, 2020·Clinical Medicine : Journal of the Royal College of Physicians of London·Shameer Mehta
Aug 25, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Juan B OchoaM Isabel T D Correia
Sep 18, 2020·European Journal of Clinical Nutrition·Ronan ThibaultPierre Déchelotte
Mar 6, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Paolo FormentiDavide Chiumello
Mar 14, 2021·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Elizabeth Scruth
May 4, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Rebecca LiuKyle Staller
May 25, 2021·Clinical Nutrition ESPEN·Iván Osuna-PadillaSebastián Rodríguez-Llamazares
Jun 25, 2021·World Journal of Transplantation·Gamze Akbulut, Feray Gencer-Bingol
Aug 1, 2021·Clinical Nutrition ESPEN·Lee-Anne S ChappleEmma J Ridley

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