Enteral Nutrition with ARDS, prone position, and paralytic

I have recently read articles stating it is safe to enterally feed patients in prone position however, all of these patients are on a paralytic. Most intensivists I have spoken to say you cannot feed on a paralytic. One Intensivist says yes you can because it does not affect smooth muscle cells. What is everyone else doing?

Check out this document just added from SCCM/ASPEN which covers this topic.

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Hi. We still continue tube feedings as the patients are prone without risk of aspiration

We always continue tube feeds in prone and/or paralyzed patients in our ICU.

@Kelnolengrady: We are feeding in prone position. Our policy is to stop feeds approx 1 hour prior to the turn and an hour afterwards.

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