Evolution of nutrition support in patients with COVID-19 disease admitted in the Intensive Care Unit

López-Gómez, Juan José; Lastra-González, Paula; Gómez-Hoyos, Emilia; Ortolá-Buigues, Ana; Jiménez-Sahagún, Rebeca; Cuadrado-Clemente, Laura; Benito-Sendín-Plaar, Katia; Cuenca-Becerril, Sara; Portugal-Rodriguez, E.; Román, Daniel Antonio de Luis

doi:10.1016/j.endien.2022.11.029

Cited by 1 publication

(1 citation statement)

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“…Extracorporeal supply or prone position should not limit or contraindicate EN [119]. Finally, after resolution of a critical illness, patients have been shown to experience high rates of dysphagia that can persist after critical phases, limiting nutritional intake [120]. Consequently, nutritional modifications are often necessary to adjust the food consistency to the swallowing capability, and nutritional counseling is often required after ICU discharge.…”

Section: Special Issues Related To Sars-cov-2 Infectionmentioning

confidence: 99%

Metabolic Support in Acute Respiratory Distress Syndrome: A Narrative Review

Umbrello

Marini

Formenti

2023

JCM

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Nutritional support for acute respiratory distress syndrome (ARDS) patients shares metabolic notions common to other critically ill conditions. Nevertheless, it generates specific concern regarding the primary limitation of oxygen supply and the complications of carbon dioxide elimination, as well as the significant metabolic alterations due to the body’s response to illness. In the present narrative review, after briefly summarizing the pathophysiology of critical illness stress response and patients’ metabolic requirements, we focus on describing the characteristics of metabolic and artificial nutrition in patients with acute respiratory failure. In patients with ARDS, several aspects of metabolism assume special importance. The physiological effects of substrate metabolism are described for this setting, particularly regarding energy consumption, diet-induced thermogenesis, and the price of their clearance, transformation, and storage. Moreover, we review the possible direct effects of macronutrients on lung tissue viability during ARDS. Finally, we summarize the noteworthy characteristics of metabolic control in critically ill patients with ARDS and offer a suggestion as to the ideal methods of metabolic support for this problem.

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Section: Special Issues Related To Sars-cov-2 Infectionmentioning

confidence: 99%