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)

• Listing ID: 674
• National Dietetic Association: UNITED KINGDOM - The British Dietetic Association
• EFAD Education Associate Member: none or other than from the list
• EuDAP key objectives: Objective 3. Use dietitians as educators and experts in the community and clinical settings, Objective 4. Invest in establishing the effectiveness of dietitians
• Target audience: Health professionals
• Type: Document, Guideline
• COVID-19 special issue: Yes
• Read more (link): https://www.bda.uk.com/resource/best-practice-guidance-enteral-feeding-in-prone-position.html

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British Dietetic Association, 3rd Floor Interchange Place, 151-165 Edmund Street, Birmingham, B3 2TAUnited Kingdom Show phone number+44 121 200 8080 ***** https://www.bda.uk.com/

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