Challenges to Provision of Adequate Medical Nutrition Therapy in a Critically Ill COVID-19 Patient Fed in the Prone Position

Terry Brown; Riva Touger-Decker; Susan Roberts; Diane Reed; Laura Matarese

doi:https://doi.org/10.1097/TIN.0000000000000285

Challenges to Provision of Adequate Medical Nutrition Therapy in a Critically Ill COVID-19 Patient Fed in the Prone Position

Terry Brown, Riva Touger-Decker, Susan Roberts, Diane Reed, Laura Matarese

Research output: Contribution to journal › Article › peer-review

Abstract

Adults with acute respiratory distress syndrome (ARDS) may experience enteral nutrition (EN) intolerance. They often require mechanical ventilation and other specialized management including prone positioning. There is a controversy as to whether patients fed in prone position experience more EN intolerance than when they are in supine position. This narrative review synthesizes the literature published between 2001 and 2021 in adults with ARDS who are fed EN while in the prone position to determine safety and tolerance. A case of an adult patient with Down syndrome who developed ARDS due to COVID-19 and required EN while in prone position is presented.

Original language	American English
Pages (from-to)	218-226
Number of pages	9
Journal	Topics in Clinical Nutrition
Volume	37
Issue number	3
DOIs	https://doi.org/10.1097/TIN.0000000000000285
State	Published - Jul 1 2022
Externally published	Yes

ASJC Scopus subject areas

Nutrition and Dietetics

Keywords

ARDS
COVID-19
Down syndrome
critical care
enteral nutrition
feeding intolerance
mechanical ventilation
prone position
respiratory failure
tube feeding

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https://doi.org/10.1097/TIN.0000000000000285

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title = "Challenges to Provision of Adequate Medical Nutrition Therapy in a Critically Ill COVID-19 Patient Fed in the Prone Position",

abstract = "Adults with acute respiratory distress syndrome (ARDS) may experience enteral nutrition (EN) intolerance. They often require mechanical ventilation and other specialized management including prone positioning. There is a controversy as to whether patients fed in prone position experience more EN intolerance than when they are in supine position. This narrative review synthesizes the literature published between 2001 and 2021 in adults with ARDS who are fed EN while in the prone position to determine safety and tolerance. A case of an adult patient with Down syndrome who developed ARDS due to COVID-19 and required EN while in prone position is presented.",

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note = "Funding Information: This article was prepared as part of course requirements while at Rutgers School of Health Professions as part of the degree process for the doctor of clinical nutrition. This research was supported (in whole or in part) by HCA Healthcare and/or an HCA Healthcare affiliated entity. The views expressed in this publication represent those of the author(s) and do not necessarily represent the official views of HCA Healthcare or any of its affiliated entities. Publisher Copyright: {\textcopyright} 2022 Lippincott Williams and Wilkins. All rights reserved.",

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AU - Matarese, Laura

N1 - Funding Information: This article was prepared as part of course requirements while at Rutgers School of Health Professions as part of the degree process for the doctor of clinical nutrition. This research was supported (in whole or in part) by HCA Healthcare and/or an HCA Healthcare affiliated entity. The views expressed in this publication represent those of the author(s) and do not necessarily represent the official views of HCA Healthcare or any of its affiliated entities. Publisher Copyright: © 2022 Lippincott Williams and Wilkins. All rights reserved.

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Challenges to Provision of Adequate Medical Nutrition Therapy in a Critically Ill COVID-19 Patient Fed in the Prone Position

Abstract

ASJC Scopus subject areas

Keywords

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