COVID-19 patients post-ICU (PROF. ELISABETH DE WAELE)
PROF. ELISABETH DE WAELEHead of Clinics ICUHead of Clinical Nutrition Department, Universitair Ziekenhuis Brussel, Brussels, Belgium
Strategies for the nutritional management of COVID-19 patients post-ICU
Current experience, emerging research and nutritional considerations post ICU discharge.
What is your procedure when you are changing someone from prone to supine or vice versa?
Gives a step by step guide on what to do and implications for feed interruption. Also discusses GRVs
How do you start enteral nutrition, at what rates, how slowly and how do you ramp this up?
Gives clear indications of what is meant by haemodynamic stability and how to use the guideline recommendations for early enteral nutrition commencement together with the monitoring of GRVs.
What are the expected long term consequences of Covid 19 survivors?
Surviving ICU stays comes with a price and describes this in details
Hepatic failure or Liver Cirrhosis and nutritional management of these patients, and use of branch chained amino acids?
Discusses main nutritional guidelines, use of EN and formulations and which weights to use.
How to manage Covid 19 patients with prolonged diarrhoea and how to support this with enteral nutrition
Guidelines and clinical practice advice with ways to determine the actual cause of diarrhoea in ICU patients and possible solutions including enteral nutrition formulations.
Calculations of nutritional needs, and when to use Actual Body Weight or Ideal Body Weight and Adjusted Body weight in obese individuals
Gives clear definitions of each and when to use which body weight in calculations
How many of the Covid 19 patients are enteral nutrition dependent or oral nutritional supplement dependent after ICU discharge?
Not much is known but what has been studied shows very poor oral intakes in similar patient populations and the only way to manage the nutritional deficits would require enteral nutrition or oral supplements to meet raised requirements.
When is early enteral nutrition commenced given there are many interpretations of this in ICU and what about patients at ward level?
Which patients and when eg NIV and HIflo nasal oxygen
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