Continuing Enteral Nutrition in Prone Ventilation

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.