Tuesday, May 15, 2018

Enteral feed in prone positioning

Q: Which one precaution should be taken for enteral tube feeding while switching patient from prone position to supine position after dose of "proning" during ARDS treatment?

Answer:  One inherent risk of prone positioning during refractory ARDS treatment is vomiting as well as increased residual gastric volumes. It would be appropriate to temporarily hold the tube feed, emptied the stomach emptied prior to switching back to the supine position.



1. Reignier J, Thenoz-Jost N, Fiancette M, et al. Early enteral nutrition in mechanically ventilated patients in the prone position. Crit Care Med 2004; 32:94. 

2. Saez de la Fuente I, Saez de la Fuente J, Quintana Estelles MD, et al. Enteral Nutrition in Patients Receiving Mechanical Ventilation in a Prone Position. JPEN J Parenter Enteral Nutr 2016; 40:250.

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