Nutritional and Metabolic Support and the Treatment Strategy of Severe Corona Virus Disease 2019 (COVID-19)

Jiancheng ZHANG; Hua JIANG; Lei DENG; Kai WANG; Mingwei SUN; Ping ZHOU; Wei CHEN

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Nutritional and Metabolic Support and the Treatment Strategy of Severe Corona Virus Disease 2019 (COVID-19)

VernacularTitle: 重症新冠病毒肺炎（COVID-19）患者代谢支持与营养治疗的建议
Author: Jiancheng ZHANG ¹ ; Hua JIANG ² ; Lei DENG ³ ; Kai WANG ⁴ ; Mingwei SUN ⁴ ; Ping ZHOU ¹ ; Wei CHEN ⁵
Author Information

1. Institute of Emergency Medicine and Disaster Medicine, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu, 610072, P.R.China;Emergency Intensive Care Unit, Emergency Center, University of Electronic Science and Technology of China, Chengdu, 610072, P.R.China;Medical Task Force of Sichuan Provincial People’s Hospital to Union Red Cross Hospital of Wuhan, Wuhan, 430015, P.R.China
2. Institute of Emergency Medicine and Disaster Medicine, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu, 610072, P.R.China;Emergency Intensive Care Unit, Emergency Center, University of Electronic Science and Technology of China, Chengdu, 610072, P.R.China;Department of Acute Care Surgery, Emergency Center, University of Electronic Science and Technology of China, Chengdu, 610072, P.R.China;Medical Task Force of Sichuan Provincial People’s Hospital to Union Red Cross Hospital of Wuhan, Wuhan, 430015, P.R.China
3. Emergency Intensive Care Unit, Emergency Center, University of Electronic Science and Technology of China, Chengdu, 610072, P.R.China;Medical Task Force of Sichuan Provincial People’s Hospital to Union Red Cross Hospital of Wuhan, Wuhan, 430015, P.R.China
4. Institute of Emergency Medicine and Disaster Medicine, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu, 610072, P.R.China;Department of Acute Care Surgery, Emergency Center, University of Electronic Science and Technology of China, Chengdu, 610072, P.R.China
5. Department of Clinical Nutrition, Peking Union Medical College Hospital, Beijing, 100730, P.R.China
Publication Type:Journal Article
Keywords: corona virus disease-19 (COVID-19); critical illness; nutritional risk; nutritional support; energy; protein; ω -3 fatty acids
From: Chinese Journal of Emergency Medicine 2020;29(0):E011-E011
CountryChina
Language:Chinese
Abstract: The digestive tract is a target organ attacked by COVID-19. It is also the earliest affected organ other than the lung and must bear side effects from the anti-virus chemotherapy such as LPV/r. In this article, we aim to provide practical recommendations for a nutritional and metabolic management strategy for severe corona virus disease-19 (COVID-19) patients. These recommendations are based on the newest pathophysiological findings on the risk factors of malnutrition for COVID-19. We also systematically retrieve literatures on nutritional therapy for acute lung injuries from international and Chinese databases according to evidence-based principles. Our suggestions are: 1) Physicians should be mindful of gut injury when they focus on respiratory support, by monitoring and managing the nutritional status; 2) Periodical and dynamic nutritional risk evaluation is needed; 3) For severe patients, the feeding target of calorie and protein should be down-regulated; 4)The using of ω-3 fatty acids products should be in accordance with pharmacological indications; the forms and dosage should be determined individually.