Continuing Enteral Nutrition in Prone Ventilation
- Resource Type
- Authors
- Suganya Sabaretnam
- Source
- Sri Lankan Journal of Anaesthesiology. 29:3
- Subject
- Supine position
business.industry
medicine.medical_treatment
Trendelenburg position
Ventilator-associated pneumonia
030204 cardiovascular system & hematology
medicine.disease
Enteral administration
Prone ventilation
03 medical and health sciences
Prone position
0302 clinical medicine
Anesthesiology and Pain Medicine
Parenteral nutrition
Anesthesia
Breathing
Medicine
030212 general & internal medicine
business
- Language
- ISSN
- 2279-1965
1391-8834
Enteral nutrition (EN) is safe and essential to overall patient outcomes especially for the critically ill and therefore should be continued during ventilation in prone position as these patients by default tend to be the most critically ill. The incidence of vomiting, increased gastric residual volume (GRV) and ventilator associated pneumonia (VAP) are not increased when compared to feeding in supine position. It is important to keep the bed in inverse Trendelenburg position of 30 degrees while continuing enteral feed in prone position. Prokinetics are indicated for patients with high GRV. Naso-gastric (NG) feeding is not inferior to post pyloric feeding.