INTERDISCIPLINARY MANAGEMENT IN PATIENTS ADMITTED TO THE ICU DUE TO THE COVID-19 PANDEMIC

Abstract

Introduction: Because of the high catabolic state caused by the pathology and the various interdisciplinary treatments offered together, the patient admitted to the intensive care unit (ICU), whether diagnosed with Covid-19 or not, needs multidisciplinary care, aiming at a quick and adequate recovery, according to the patient's metabolic condition. Objective: This study aimed to analyze the protocols offered by the health team in patients hospitalized in an intensive care unit. Methodology: This is an integrative review in the LILACS, PUBMED and SCIELO databases, using the descriptors associated with the Boolean operator (AND): "Pandemic", "Intensive Care Unit", "Combined Therapy", "Enteral Nutrition" and "Parenteral Nutrition". The inclusion criteria were studies between the years 2015 and 2022, excluding articles that did not address the central theme. Results: These patients have several nutrient deficits, both macronutrients, protein and lipids, for example, and micronutrients, such as vitamins and minerals, worsening to the point of causing more severe malnutrition, partially and integrally compromising interdisciplinary therapies, for example, the principles of medications, in addition to impairing other procedures, such as mechanical ventilation and hemodialysis,  requiring full attention from all the professionals who make up the health team. Conclusion: In view of the different clinical conditions that the patient may present, the best routes of administration are chosen, together with the health team, for nutritional, mechanical and cardiac support that is significant to health, and according to the other treatments used.