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Official guidance from #ESPEN about nutritional management of #COVIDー19 clinicalnutritionjournal.com/article/S0261-…
A useful summary of nutrition/malnutrition, immune function and critical care.
But in reality, #ICU is different... FWIW a personal interpretation of limited experience thus far..
A useful summary of nutrition/malnutrition, immune function and critical care.
But in reality, #ICU is different... FWIW a personal interpretation of limited experience thus far..
Assume every patient with #COVID19 is at high risk of malnutrition, whether co-morbidities exist, or not. Difficulties in breathing (DIB) compromises oral intake whether or not non-invasive ventilation (NIV) is used. Plus patients are being admitted well along the disease pathway
Use a feed protocol where possible. Most #ICU have one. Ours follows a 4-hourly escalation in NG feed rate tempered for patients on high level vasopressors. Protocols inform unfamiliar staff with normal ICU practices when ventilated numbers escalate. 
