2. Critical care

Type of information

Country/ Organisation

Details

Evidence guide

Systematic and transparent approach to development1 (low/med/high)

Ready for use in practice2 (yes/no)

Information source

 Level of evidence3

Guideline

Portugal

The Portuguese National Programme for Healthy Eating and the General Directorate of Health have been developing materials in the area of Food and Nutrition to inform the critical patients in ICU (https://www.dgs.pt/directrizes-da-dgs/orientacoes-e-circulares-informativas/orientacao-n-0212020-de-06042020-pdf.aspx)) and Guidelines for Nutritional Therapy of the Patient with Covid infection (Portuguese).

Low

Yes

Peer review literature

IV

Guidance

Ireland

Dietetic practice guidance advice for nutritional support for patients in Intensive Care Units see here (English)

Low

Yes

Peer review literature

IV

Position paper

Israel

The nutritional treatment of patients on prolonged mechanical ventilation

Hebrew version see here – with list of references in English on page 21

English version

Low

Yes

Peer review literature

IV

Guidance

Israel

Hebrew for acute and chronic artificial ventilation. 

Low

Yes

Peer review literature

IV

Position paper

Spain

Food and nutrition recommendations against the coronavirus crisis, with recommendations for healthy people who are in confinement, pregnant and nursing, people with mild symptomatology in COVID-19 and critical patients in ICU.

Spanish version – see here

English version - see here

Low

Yes

Peer review literature

IV

Practical guidance

BDA

Practical considerations for nutritional management of non-ICU COVID-19 patients in hospital

Low

Yes

Expert opinion, grey and peer review literature

IV

Best practice guidelines

BDA

BDA Critical Care Specialist Group COVID-19 Best Practice Guidance: Enteral Feeding in Prone Position

Low

Yes

Expert opinion and peer review literature

IV

Practical guidance

BDA

Route of Nutrition Support in Patients Requiring NIV & CPAP During the COVID-19 Response (BDA)

Low

Yes

Peer reviewer literature

IV

Guidleine

Germany

Coronavirus infection (COVID-19) in patients with blood and cancer diseases

 

Low

Yes

Peer review literature

IV

Recommendations

France

Changes in care of home artificial nutrition patients during the COVID-19 epidemics in France: position of the French-Speaking Society for Clinical Nutrition and Metabolism (SFNCM) Home Artificial Nutrition

Nutritional care at hospital during the COVID-19 viral epidemic: expert opinion from the French-Speaking Society for Clinical Nutrition and Metabolism (SFNCM)

Low

Yes

Expert opinion and peer review literature

IV

Expert statement

ESPEN

ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection

Low

Yes

Expert opinion and peer review literature

IV

Expert statement

CIENUT, International Committee of Nutrition Experts, in which the General Councils of Dietitians-Nutritionists of Lationamérica

Manual for the Nutritional Management of COVID-19 https://cienut.org/comite_internacional/declaraciones/paginas/declaracion_2.php

Low

Yes

Peer review literature

IV

Guidance

ESDN Oncology Committee.

Dietary supplements and herbal remedies affecting blood clotting

Low

Yes

Peer review literature

IV

Handbook

China

Handbook of COVID-19 Prevention and Treatment (First Affiliated Hospital, Zhejiang University School of Medicine has treated 104 patients tested positive for COVID-19 in 50 days; and it has achieved zero deaths in patients diagnosed, zero patients misdiagnosed, and zero infections in medical staff) Page 31 describes nutritional treatment in general terms

English version:

Italian and Spanish versions coming soon

Low

Yes

Unclear

V

Practice notes

Netherlands

Hinke Kruizenga highlights items to note from the Chinese manual and gives additional information see in Dutch and English

Low

No

Unclear

V

Guideline

Turkey

Turkish Dietetic Association’s Recommendations on Nutrition and COVID-19

Available in  Turkish and English

Nutrition support on page 9 (4.3 section)

Low

Yes

Unclear

V

Recommendations

Italy

Indications that ANDID has developed for Italian dietitians, for the various areas of professional practice. (Italian)

ANDID produced a document relating to nutritional care in all hospital settings (Italian)

Low

Yes

Unclear

V

Evidence summary

UK

Medical Nutrition Therapy for COVID-19- Quick Guide

Low

Yes

Peer review literature

V

Forum

Optimal Nutritional Care for All (ONCA)

Good Practice for the Optimal Nutritional Care for All Campaign related to Nutrition and COVID-19

Low

No

Unclear

V

Guideline

Slovenian Society for Clinical Nutrition, SLOSPEN

Guideline regarding COVID - 19 Infection. http://klinicnaprehrana.si/2020/04/prehrana-in-okuzba-z-virusom-sars-cov-2/

Low

Unclear

Unclear

V

Statement

BDA

BDA Paediatric Specialist Group (PSG) response to COVID-19 can be accessed here.

Low

Yes

Grey literature

V

Practical guidance

 

BAPEN

Guidance resources on COVID-19 nutrition support including tube placement, shielding for home parenteral nutrition, enteral tube feeding safety and PEG insertion

Low

Yes

Expert opinion and peer review literature

V

Practical guidance

 

Netherlands VDD

 Practical guide for nutrition in different states of SARS-CoV-19.

Low

Yes

Expert opinion and peer review literature

V

Varied

ASPEN

Resource library  on COVID-19

Low

Varied

Varied

Varied