During enteral feeding, what should the head-of-bed elevation be?

During enteral feeding, what should the head-of-bed elevation be?

• A. 0-10 degrees
• B. 30-45 degrees
• C. 15 degrees
• D. 60 degrees

Answer: (B)

Elevate the head of the bed to reduce the risk of aspiration during feeding. A 30 to 45-degree angle uses gravity to keep stomach contents away from the airway, helping prevent reflux into the esophagus and trachea while the enteral feed is running and for a short period afterward. This range balances safety with comfort and practicality, and it’s generally used unless there are specific medical reasons to adjust. Angles lower than this (near-flat) increase aspiration risk, while a very steep angle (like 60 degrees) isn’t necessary for most patients and can cause discomfort or tube-related issues. So, 30 to 45 degrees is the best-supported standard.

Elevate the head of the bed to reduce the risk of aspiration during feeding. A 30 to 45-degree angle uses gravity to keep stomach contents away from the airway, helping prevent reflux into the esophagus and trachea while the enteral feed is running and for a short period afterward. This range balances safety with comfort and practicality, and it’s generally used unless there are specific medical reasons to adjust.

Angles lower than this (near-flat) increase aspiration risk, while a very steep angle (like 60 degrees) isn’t necessary for most patients and can cause discomfort or tube-related issues. So, 30 to 45 degrees is the best-supported standard.