Incidence, clinical characteristics and outcome of barotrauma in critically ill patients with COVID-19: a systematic review and meta-analysis

Umbrello, Michele; Venco, Roberto; Antonucci, Edoardo; Cereghini, Sergio; Filardo, Clelia; Guglielmetti, Luigi; Montanari, Giulia; Muttini, Stefano

doi:10.23736/s0375-9393.22.16258-9

Cited by 3 publications

(1 citation statement)

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“…Furthermore, the presence of air leaks such as pneumothorax or subcutaneous emphysema, preclude the measurement of energy expenditure, as not all exhaled gas pass through the device sensors. In COVID-19 patients, an unexpectedly high incidence of barotrauma has indeed been described [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Nutrition support for critically ill patients during the COVID-19 pandemic: the Italian SIAARTI survey

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Fittipaldi

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et al. 2022

J Anesth Analg Crit Care

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Background Critically ill, COVID-19 patients are characterized by a hypermetabolic state and a reduced food intake and are at high risk of malnutrition and lean body mass loss. An appropriate metabolic-nutritional intervention aims to reduce complications and improve the clinical outcomes. We conducted a cross-sectional, multicenter, observational, nationwide online survey involving Italian Intensivists to assess the nutritional practices in critically ill patients with COVID-19. Results A group of experts in nutrition of the Italian Society of Anaesthesia Analgesia Resuscitation and Intensive Care (SIAARTI) developed a 24-item questionnaire; the 9000 members of the Society were invited to participate through emails and social networks. Data was collected from June 1 to August 1, 2021. A total of 545 responses were collected: 56% in northern, 25% in central, and 20% in southern Italy. Artificial nutrition support is directly handled by intensivists in > 90 of the cases; the nutritional status is assessed as suggested by the guidelines in more than 70% of the cases, and a form of nutrition support is started within the first 48 h from ICU admission by > 90% of the respondents. Nutritional targets are reached in 4–7 days in > 75% of the cases, mainly by the enteral route. Indirect calorimetry, muscle ultrasound, and bioimpedance analysis are used by a limited part of the interviewees. Only about a half of the respondents reported the nutritional issues in the ICU discharge summary. Conclusions This survey among Italian Intensivists during the COVID-19 epidemic showed how the beginning, progression, and route of nutritional support adhere to international recommendations, while recommendations on the tools to set the target and monitor the efficacy of the metabolic support are less followed.

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Section: Discussionmentioning

confidence: 99%