An energy ratio of fats and carbohydrates should be considered while adapting to energy needs.
50:50 ratio for ventilated patients compared to 30:70 ratio for subjects without respiratory complications.

University of California, Davis

- For critically ill patients with COVID-19, carbohydrate intake must be strictly regulated because the oxidation of carbohydrates leads to the production of carbon dioxide, and excess carbon dioxide production is harmful for patients with respiratory failure. 
- The patient must not take in more than 150g of carbohydrates per day. 

Carbohydrate Recommendations for Critically Ill Patients With COVID-19

Barazzoni R., Bischoff S.C, Krznaric Z., Pirlich M., Singer P.  ESPEN experts statements and practical guidence for nutritional management of individuals with SARS-CoV-2 infection. Clin Nutr. 2020 doi: 10.1016/j.clnu.2020.03.022.

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