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10.1002/jpen.1930 http://scihub22266oqcxt.onion/10.1002/jpen.1930 32462719!7283713!32462719     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       JPEN+J+Parenter+Enteral+Nutr 2020 ; 44 (7): 1174-1184 Nephropedia Template TP {{tp|p=32462719|t=2020. Nutrition Therapy in Critically Ill Patients With Coronavirus Disease 2019 |pdf=|usr=}}{{32462719}} gab.com Text Nutrition Therapy in Critically Ill Patients With Coronavirus Disease 2019 JO: JPEN J Parenter Enteral Nutr http://www.kidney.de/pget.php?&tw=1&pmid=32462719 #FOAvip In the midst of a coronavirus disease 2019 (COVID-19) pandemic, a paucity of data precludes derivation of COVID-19-specific recommendations for nutrition therapy. Until more data are available, focus must be centered on principles of critical care nutrition modified for the constraints of this disease process, ie, COVID-19-relevant recommendations. Delivery of nutrition therapy must include strategies to reduce exposure and spread of disease by providing clustered care, adequate protection of healthcare providers, and preservation of personal protective equipment. Enteral nutrition (EN) should be initiated early after admission to the intensive care unit (ICU) using a standard isosmolar polymeric formula, starting at trophic doses and advancing as tolerated, while monitoring for gastrointestinal intolerance, hemodynamic instability, and metabolic derangements. Intragastric EN may be provided safely, even with use of prone-positioning and extracorporeal membrane oxygenation. Clinicians should have a lower threshold for switching to parenteral nutrition in cases of intolerance, high risk of aspiration, or escalating vasopressor support. Although data extrapolated from experience in acute respiratory distress syndrome warrants use of fiber additives and probiotic organisms, the lack of benefit precludes a recommendation for micronutrient supplementation. Practices that increase exposure or contamination of equipment, such as monitoring gastric residual volumes, indirect calorimetry to calculate requirements, endoscopy or fluoroscopy to achieve enteral access, or transport out of the ICU for additional imaging, should be avoided. At all times, strategies for nutrition therapy need to be assessed on a risk/benefit basis, paying attention to risk for both the patient and the healthcare provider. Twit Text FOAVip Nutrition Therapy in Critically Ill Patients With Coronavirus Disease 2019 ????JPEN J Parenter Enteral Nutr http://www.kidney.de/pget.php?&tw=1&pmid=32462719 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32462719 #FOAvip English Wikipedia <ref>{{Cite pmid|32462719}}</ref> Nutrition Therapy in Critically Ill Patients With Coronavirus Disease 2019 #MMPMID32462719 Martindale R; Patel JJ; Taylor B; Arabi YM; Warren M; McClave SA JPEN J Parenter Enteral Nutr 2020[Sep]; 44 (7): 1174-1184 PMID32462719show ga In the midst of a coronavirus disease 2019 (COVID-19) pandemic, a paucity of data precludes derivation of COVID-19-specific recommendations for nutrition therapy. Until more data are available, focus must be centered on principles of critical care nutrition modified for the constraints of this disease process, ie, COVID-19-relevant recommendations. Delivery of nutrition therapy must include strategies to reduce exposure and spread of disease by providing clustered care, adequate protection of healthcare providers, and preservation of personal protective equipment. Enteral nutrition (EN) should be initiated early after admission to the intensive care unit (ICU) using a standard isosmolar polymeric formula, starting at trophic doses and advancing as tolerated, while monitoring for gastrointestinal intolerance, hemodynamic instability, and metabolic derangements. Intragastric EN may be provided safely, even with use of prone-positioning and extracorporeal membrane oxygenation. Clinicians should have a lower threshold for switching to parenteral nutrition in cases of intolerance, high risk of aspiration, or escalating vasopressor support. Although data extrapolated from experience in acute respiratory distress syndrome warrants use of fiber additives and probiotic organisms, the lack of benefit precludes a recommendation for micronutrient supplementation. Practices that increase exposure or contamination of equipment, such as monitoring gastric residual volumes, indirect calorimetry to calculate requirements, endoscopy or fluoroscopy to achieve enteral access, or transport out of the ICU for additional imaging, should be avoided. At all times, strategies for nutrition therapy need to be assessed on a risk/benefit basis, paying attention to risk for both the patient and the healthcare provider. |*Critical Care[MESH] |*Nutrition Therapy[MESH] |*Nutritional Status[MESH] |*Nutritional Support[MESH] |*Practice Guidelines as Topic[MESH] |COVID-19/*therapy[MESH] |Critical Illness/*therapy[MESH] |Enteral Nutrition[MESH] |Extracorporeal Membrane Oxygenation[MESH] |Humans[MESH] |Intensive Care Units[MESH] |Pandemics[MESH] |Parenteral Nutrition[MESH] |Respiratory Distress Syndrome[MESH]Nutrition Therapy in Critically Ill Patients With Coronavirus Disease (epmc).pdf DeepDyve Pubget Overpricing