{"id":1764,"date":"2021-04-28T04:40:27","date_gmt":"2021-04-28T04:40:27","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/es-pe\/?p=1764"},"modified":"2021-11-12T10:49:11","modified_gmt":"2021-11-12T10:49:11","slug":"manejo-nutricional-en-pacientes-covid-19-con-ventilacion-mecanica","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/es-pe\/manejo-nutricional-en-pacientes-covid-19-con-ventilacion-mecanica\/","title":{"rendered":"Manejo Nutricional en pacientes covid-19 con ventilaci\u00f3n mec\u00e1nica"},"content":{"rendered":"<p style=\"text-align: justify;\">La pandemia ocasionada por el COVID-19 es un reto mundial para las personas, los pacientes, los profesionales de salud y los sistemas de salud.<\/p>\n<p style=\"text-align: justify;\">El COVID-19 puede provocar enfermedades cr\u00edticas graves en pacientes con comorbilidades como enfermedades cardiovasculares, diabetes, c\u00e1ncer y enfermedades respiratorias cr\u00f3nicas, espec\u00edficamente en aquellos de edad avanzada<a class=\"bibliography-sup\" title=\"Cummings MJ, Baldwin MR, Abrams D et al., Epidemiology, clinical course, and outcomes of critically ill adults with COVID-19 in New York City: a prospective cohort study. The Lancet, published online May 19, 2020. https:\/\/doi.org\/10.1016\/S0140-6736(20)31189-2\" href=\"http:\/\/Cummings MJ, Baldwin MR, Abrams D et al., Epidemiology, clinical course, and outcomes of critically ill adults with COVID-19 in New York City: a prospective cohort study. The Lancet, published online May 19, 2020. https:\/\/doi.org\/10.1016\/S0140-6736(20)31189-2\" data-bibliography-link=\"\">1<\/a>.<\/p>\n<p style=\"text-align: justify;\">Adem\u00e1s, entre las consecuencias graves del COVID-19 tenemos la inflamaci\u00f3n no controlada, la llamada tormenta de citoquinas<a class=\"bibliography-sup\" title=\"Li X, Geng M, Peng Y et al., Molecular immune pathogenesis and diagnosis of COVID-19. J Pharm Anal. 2020 Apr;10(2):102-108. doi: 10.1016\/j.jpha.2020.03.001. Epub 2020 Mar 5.\" href=\"10.1016\/j.jpha.2020.03.001. Epub 2020 Mar 5.\" data-bibliography-link=\"\">2,<\/a><a class=\"bibliography-sup\" title=\"Mehta P, McAuley DF, Brown M et al., COVID-19: consider cytokine storm syndromes and immunosuppression. Lancet. 2020 Mar 28;395(10229):1033-1034.\" href=\"1033-1034.\" data-bibliography-link=\"\">3,<\/a><a class=\"bibliography-sup\" title=\"Pedersen SF, Ho YC. SARS-CoV-2: a storm is raging. J Clin Invest. 2020 May 1;130(5):2202-2205.\" href=\"2202-2205.\" data-bibliography-link=\"\">4<\/a><\/p>\n<p style=\"text-align: justify;\">El s\u00edndrome de dificultad respiratoria aguda (SDRA) es una complicaci\u00f3n grave del COVID-19 y la principal causa de mortalidad.<\/p>\n<p style=\"text-align: justify;\">Los pacientes con SDRA tienen muchas probabilidades de requerir apoyo ventilatorio y, en consecuencia, terapia nutricional<a class=\"bibliography-sup\" title=\"Bear D, Terblanche E. Critical Care Specialist Group Guidance on management of nutrition and dietetic services during the COVID-19 pandemic. 23rd March 2020. Accessed at: https:\/\/www.bda.uk.com\/resource\/critical-care-dietetics-guidance-covid-19.html\" href=\"https:\/\/www.bda.uk.com\/resource\/critical-care-dietetics-guidance-covid-19.html\" data-bibliography-link=\"\">5<\/a>.<\/p>\n<p style=\"text-align: justify;\">Los lineamientos para pacientes con COVID-19 elaborados por ESPEN<a class=\"bibliography-sup\" title=\"Barazzoni R, Bischoff SC, Krznaric Z et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-COV-2 infection. Clinical Nutrition 2020, https:\/\/doi.org\/10.1016\/j.clnu.2020.03.022\" href=\"\/\/doi.org\/10.1016\/j.clnu.2020.03.022\" data-bibliography-link=\"\">6<\/a> y ASPEN<a class=\"bibliography-sup\" title=\"Martindale R, Patel JJ, Taylor B et al., Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care. Reviewed and Approved by the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition, published online April 2020: http:\/\/www.nutritioncare.org\/COVID19Resources\/\" href=\"http:\/\/www.nutritioncare.org\/COVID19Resources\/\" data-bibliography-link=\"\">7<\/a> buscan ofrecer una orientaci\u00f3n pr\u00e1ctica a los profesionales de la salud referente a la terapia nutricional de los pacientes con COVID-19 en estado cr\u00edtico. En cuanto al momento, la v\u00eda, la dosis y la monitorizaci\u00f3n de la terapia nutricional, las recomendaciones son muy similares a las de otros pacientes de la UCI ingresados con compromiso pulmonar y que requieren ventilaci\u00f3n<a class=\"bibliography-sup\" title=\"Martindale R, Patel JJ, Taylor B et al., Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care. Reviewed and Approved by the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition, published online April 2020: http:\/\/www.nutritioncare.org\/COVID19Resources\/\" href=\"http:\/\/www.nutritioncare.org\/COVID19Resources\/\" data-bibliography-link=\"\">7<\/a><\/p>\n<p style=\"text-align: justify;\"><strong>\u00bfCu\u00e1ndo iniciar la NP?<\/strong><\/p>\n<p style=\"text-align: justify;\">La nutrici\u00f3n parenteral debe iniciarse si el paciente est\u00e1 en riesgo nutricional y la nutrici\u00f3n enteral es insuficiente y\/o est\u00e1 contraindicada<a class=\"bibliography-sup\" title=\"Barazzoni R, Bischoff SC, Krznaric Z et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-COV-2 infection. Clinical Nutrition 2020, https:\/\/doi.org\/10.1016\/j.clnu.2020.03.022\" href=\"\/\/doi.org\/10.1016\/j.clnu.2020.03.022\" data-bibliography-link=\"\">6,<\/a><a class=\"bibliography-sup\" title=\"Martindale R, Patel JJ, Taylor B et al., Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care. Reviewed and Approved by the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition, published online April 2020: http:\/\/www.nutritioncare.org\/COVID19Resources\/\" href=\"http:\/\/www.nutritioncare.org\/COVID19Resources\/\" data-bibliography-link=\"\">7.<\/a>Debe iniciarse inmediatamente en los pacientes desnutridos<a class=\"bibliography-sup\" title=\"Singer P, Reintam Blaser A, Berger MM et al. ESPEN Guideline on Clinical Nutrition in the Intensive Care Unit. Clin Nutr. 2019; 38(1):48-79.\" href=\"48-79.\" data-bibliography-link=\"\">8<\/a> o de alto riesgo<a class=\"bibliography-sup\" title=\"Martindale R, Patel JJ, Taylor B et al., Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care. Reviewed and Approved by the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition, published online April 2020: http:\/\/www.nutritioncare.org\/COVID19Resources\/\" href=\"http:\/\/www.nutritioncare.org\/COVID19Resources\/\" data-bibliography-link=\"\">7<\/a> si la nutrici\u00f3n oral o enteral no es factible.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1770\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/es-pe\/wp-content\/uploads\/sites\/8\/2021\/04\/Figura-1-1-1024x295.png\" alt=\"\" width=\"825\" height=\"259\" \/><\/p>\n<p style=\"text-align: left;\"><strong>Fig.1:<\/strong> Momento de la nutrici\u00f3n parenteral, suministro de macronutrientes y monitorizaci\u00f3n de la nutrici\u00f3n en pacientes cr\u00edticos con COVID-19 <a class=\"bibliography-sup\" title=\"Barazzoni R, Bischoff SC, Krznaric Z et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-COV-2 infection. Clinical Nutrition 2020, https:\/\/doi.org\/10.1016\/j.clnu.2020.03.022\" href=\"\/\/doi.org\/10.1016\/j.clnu.2020.03.022\" data-bibliography-link=\"\">6,<\/a><a class=\"bibliography-sup\" title=\"Martindale R, Patel JJ, Taylor B et al., Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care. Reviewed and Approved by the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition, published online April 2020: http:\/\/www.nutritioncare.org\/COVID19Resources\/\" href=\"http:\/\/www.nutritioncare.org\/COVID19Resources\/\" data-bibliography-link=\"\">7,<\/a><a class=\"bibliography-sup\" title=\"Singer P, Reintam Blaser A, Berger MM et al. ESPEN Guideline on Clinical Nutrition in the Intensive Care Unit. Clin Nutr. 2019; 38(1):48-79.\" href=\"48-79.\" data-bibliography-link=\"\">8,<\/a><a class=\"bibliography-sup\" title=\"Worthington P, Balint J, Bechtold M et al., When Is Parenteral Nutrition Appropriate? JPEN J Parenter Enteral Nutr. 2017 Mar;41(3):324-377.\" href=\"324-377.\" data-bibliography-link=\"\">9,<\/a><a class=\"bibliography-sup\" title=\"McClave SA, Taylor BE, Martindale RG et al., Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr. 2016 Feb;40(2):159-211.\" href=\"159-211.\" data-bibliography-link=\"\">10 <\/a>*Propofol: Fuente de \u00e1cidos grasos: contiene 1,1 kcal\/ml; CRRT=Terapia de Reemplazo Renal Continuo | ** corresponde a 1,56 g de amino\u00e1cidos\/kg\/d; 100 g de amino\u00e1cidos parenterales equivalen a 83 g de prote\u00ednas<a class=\"bibliography-sup\" title=\"Hoffer LJ. Human Protein and Amino Acid Requirements. JPEN J Parenter Enteral Nutr. 2016 May;40(4):460-74.\" href=\"460-74.\" data-bibliography-link=\"\">11<\/a>.<\/p>\n<p style=\"text-align: justify;\">Adem\u00e1s, los pacientes con COVID-19 corren el riesgo de desarrollar disfunciones gastrointestinales o isquemia intestinal. Por lo tanto, el umbral para cambiar a NP puede tener que ser m\u00e1s bajo. Todas estas recomendaciones son plenamente v\u00e1lidas para los pacientes con COVID-19 en posici\u00f3n prona <strong>(Fig. 1)<\/strong>.<\/p>\n<p style=\"text-align: justify;\"><strong>Aprovechar las propiedades antiinflamatorias del aceite de pescado<\/strong><\/p>\n<p style=\"text-align: justify;\">Los \u00e1cidos grasos omega-3 del aceite de pescado son precursores directos de potentes mediadores que desempe\u00f1an un papel clave en la resoluci\u00f3n de la inflamaci\u00f3n<a class=\"bibliography-sup\" title=\"Serhan CN, Levy BD. Resolvins in inflammation: emergence of the pro-resolving superfamily of mediators. J Clin Invest. 2018 Jul 2;128(7):2657-2669.\" href=\"2657-2669.\" data-bibliography-link=\"\">12<\/a>.\u00a0 Los expertos sugieren que las f\u00f3rmulas que contienen aceite de pescado pueden ayudar a eliminar las infecciones v\u00edricas<a class=\"bibliography-sup\" title=\"Martindale R, Patel JJ, Taylor B et al., Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care. Reviewed and Approved by the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition, published online April 2020: http:\/\/www.nutritioncare.org\/COVID19Resources\/\" href=\"#\" data-bibliography-link=\"\">7<\/a>.<\/p>\n<p style=\"text-align: justify;\">La NP que contiene aceite de pescado se asocia con efectos positivos estad\u00edstica y cl\u00ednicamente significativos en los resultados, como un menor riesgo relativo de infecci\u00f3n y tasas de sepsis, y una menor duraci\u00f3n de la estancia en la UCI y en el hospital<a class=\"bibliography-sup\" title=\"Pradelli L, Mayer K, Klek S et al. \u03c9-3 Fatty-Acid Enriched Parenteral Nutrition in Hospitalized Patients: Systematic Review With Meta-Analysis and Trial Sequential Analysis JPEN J Parenter Enteral Nutr. 2020;44:44-57\" href=\"44-57\" data-bibliography-link=\"\">13<\/a>.\u00a0 As\u00ed, los \u00e1cidos grasos omega-3 son los \u00fanicos nutrientes espec\u00edficos que los expertos recomiendan como parte del componente lip\u00eddico en las mezclas de NP en los lineamientos de ESPEN<a class=\"bibliography-sup\" title=\"Singer P, Reintam Blaser A, Berger MM et al. ESPEN Guideline on Clinical Nutrition in the Intensive Care Unit. Clin Nutr. 2019; 38(1):48-79.\" href=\"48-79.\" data-bibliography-link=\"\">8<\/a> para la UCI.<\/p>\n<p><strong>Tener en cuenta las necesidades nutricionales tras el destete de la ventilaci\u00f3n mec\u00e1nica<\/strong><\/p>\n<p style=\"text-align: justify;\">Tras el destete de la ventilaci\u00f3n mec\u00e1nica, los pacientes corren el riesgo de tener problemas de degluci\u00f3n al reintroducir la ingesta oral. Esto debe ser evaluado a tiempo, con la derivaci\u00f3n a un profesional de la salud debidamente capacitado si es necesario<a class=\"bibliography-sup\" title=\"Barazzoni R, Bischoff SC, Krznaric Z et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-COV-2 infection. Clinical Nutrition 2020, https:\/\/doi.org\/10.1016\/j.clnu.2020.03.022\" href=\"\/\/doi.org\/10.1016\/j.clnu.2020.03.022\" data-bibliography-link=\"\">6<\/a>.<\/p>\n<p style=\"text-align: justify;\">Los pacientes tambi\u00e9n corren un alto riesgo de ingesta inadecuada de energ\u00eda, prote\u00ednas y l\u00edquidos y, por lo tanto, es esencial controlar la ingesta oral durante la fase de convalecencia<a class=\"bibliography-sup\" title=\"Van Zanten A, De Waele E, Wischmeyer PE. Nutrition therapy and critical illness: practical guidance for the ICU, post-ICU, and long-term convalescence phases. Critical Care. 2019; 23:368.\" href=\"368.\" data-bibliography-link=\"\">14<\/a>.<\/p>\n<p style=\"text-align: justify;\">ESPEN recomienda los alimentos modificados con textura para los pacientes con disfagia despu\u00e9s de la extubaci\u00f3n. Si la degluci\u00f3n no es segura, debe administrarse nutrici\u00f3n enteral. Si existe un alto riesgo de aspiraci\u00f3n a pesar de la v\u00eda de alimentaci\u00f3n post pil\u00f3rica, debe considerarse la nutrici\u00f3n parenteral retirando la sonda nasoenteral mientras el paciente recibe entrenamiento para la degluci\u00f3n<a class=\"bibliography-sup\" title=\"Barazzoni R, Bischoff SC, Krznaric Z et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-COV-2 infection. Clinical Nutrition 2020, https:\/\/doi.org\/10.1016\/j.clnu.2020.03.022\" href=\"\/\/doi.org\/10.1016\/j.clnu.2020.03.022\" data-bibliography-link=\"\">6<\/a>.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La pandemia ocasionada por el COVID-19 es un reto mundial para las personas, los pacientes, los profesionales de salud y los sistemas de salud. El COVID-19 puede provocar enfermedades cr\u00edticas graves en pacientes con comorbilidades como enfermedades cardiovasculares, diabetes, c\u00e1ncer y enfermedades respiratorias cr\u00f3nicas, espec\u00edficamente en aquellos de edad avanzada1. Adem\u00e1s, entre las consecuencias graves [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":1766,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[57,13,1],"tags":[],"class_list":["post-1764","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articulo-3","category-nutricion-clinica","category-sin-categorizar"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Manejo Nutricional en pacientes covid-19 con ventilaci\u00f3n mec\u00e1nica - Unidos por la Nutrici\u00f3n Cl\u00ednica | Per\u00fa<\/title>\n<meta name=\"description\" content=\"La pandemia ocasionada por el COVID-19 es un reto mundial para las personas, los pacientes, los profesionales de salud y los sistemas de salud. 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