Nutrition of the COVID-19 patient in the intensive care unit (ICU): a practical guidance

Crit Care. 2020 Jul 19;24(1):447. doi: 10.1186/s13054-020-03159-z.

Abstract

Five to 10% of the coronavirus SARS-CoV-2-infected patients, i.e., with new coronavirus disease 2019 (COVID-19), are presenting with an acute respiratory distress syndrome (ARDS) requiring urgent respiratory and hemodynamic support in the intensive care unit (ICU). However, nutrition is an important element of care. The nutritional assessment and the early nutritional care management of COVID-19 patients must be integrated into the overall therapeutic strategy. The international recommendations on nutrition in the ICU should be followed. Some specific issues about the nutrition of the COVID-19 patients in the ICU should be emphasized. We propose a flow chart and ten key issues for optimizing the nutrition management of COVID-19 patients in the ICU.

Keywords: Critical illness; Energy target; Enteral nutrition; Malnutrition; Protein target; SARS-Cov2 virus; Supplemental parenteral nutrition.

Publication types

  • Review

MeSH terms

  • COVID-19
  • Coronavirus Infections / therapy*
  • Humans
  • Intensive Care Units*
  • Nutrition Assessment
  • Nutrition Therapy*
  • Pandemics
  • Pneumonia, Viral / therapy*
  • Practice Guidelines as Topic
  • Randomized Controlled Trials as Topic