BDA Critical Care Specialist Group COVID-19 Best Practice Guidance: Enteral Feeding in Prone Position
Prone positioning is an intervention used in Acute Respiratory Distress Syndrome to help improve oxygenation, prevent ventilator associated lung injury and in combination with a protective ventilation strategy has been shown to decrease mortality. Proning is a strategy being used with frequency for patients with COVID-19.
Whilst there is little published evidence regarding enteral feeding in the prone position it has historically been thought to carry risks. These beliefs can make adequate provision of nutrition a particular challenge in proned patients, on top of the usual challenges in providing adequate nutrition in critically ill patients. In addition to this, patients who are placed in prone position may have decreased enteral feeding tolerance compared to patients in the supine position.
Prepared on behalf of the British Dietetic Association (BDA) Critical Care Specialist Group (CCSG)