key: cord-0935522-rkyk6v2a
authors: Quintero O, Oscar Iván; Garcia-Garcia, Maria Paula; Esquinas, Antonio M.
title: Parenteral nutrition in oxygen escalation/de-escalation in SARS-CoV. When and how?
date: 2022-03-01
journal: Clin Nutr ESPEN
DOI: 10.1016/j.clnesp.2022.02.120
sha: 5ba40739a271404838a123a74e530da151097917
doc_id: 935522
cord_uid: rkyk6v2a

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Oscar Iván Quintero O, FT, MgInn 1 ; Maria Paula Garcia-Garcia, MD 1 We agree that consensus concerning these patients' nutritional support is lacking. PN seems to be the nutritional choice in NIV patients for some authors, as Subramanian et. al, most likely explained by the fear of complications associated with the presence of nasogastric tubes while using a conventional oronasal mask (1) . Despite this, post-pyloric feeding tubes are often used to favor early nutrition, ameliorate enteral nutrition tolerance, and diminish the risk of aspiration pneumonia (2).

However, we would like to highlight some aspects that must be carefully reviewed.

First, the authors fail to describe the type of respiratory insufficiency leading to NIV, and the criteria used to determine nutritional management, basing their choice merely on subjectivity which represents a great bias in this paper.

Remarks were made on how recently PN is recommended when enteral nutrition When evaluating nutrition management in any patient requiring NIV, EN should be considered a feasible and safe option with the aid of novel devices designed for such purpose. However, further clinical randomized trials are needed in order to explore the best nutritional approach in NIV.

Maria Paula Garcia-Garcia: literature review, critical review manuscript, letter to editor writing. Antonio M. Esquinas: literature review, critical review manuscript, letter to editor writing.

Effect of parenteral nutrition in oxygen escalation/de-escalation in SARS-CoV-2 infected patients who are pre-intubation: A multicenter, observational study

Blind placement of postpyloric feeding tubes at the bedside in intensive care

Impact of Using a Novel Gastric Feeding Tube Adaptor on Patient's Comfort and Air Leaks During Non-invasive Mechanical Ventilation

Evaluation of patient skin breakdown and comfort with a new face mask for non-invasive ventilation: a multi-center study

Non-invasive ventilation and airway exchange catheter using a novel adapter in a difficult airway patient with post-extubation respiratory failure

Oscar Iván Quintero: literature review, critical review manuscript, letter to editor writing.

Competing Interests: authors declare no conflict of interest.Funding information: the authors received no specific funding for this work.