SynthesisIntensive & critical care nursing2020
Nursing issues in enteral nutrition during prone position in critically ill patients: A systematic review of the literature.
Synthesis in Intensive & critical care nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Safety and efficacy of enteral nutrition during prone ventilation: A meta-analysis.The Journal of international medical research · 2025Pooled it
- Efficacy and Tolerability of Non-Routine Gastric Residual Volume Monitoring in Mechanically Ventilated Adults Receiving Early Enteral Nutrition: A Randomised Controlled Non-Inferiority Trial.Nursing in critical care · 2026Trial
- Prevalence, risk factors, and clinical consequence of enteral feeding intolerance in elderly patients with traumatic brain injury: a two-center study.European journal of clinical nutrition · 2026Article
- Pulmonary and Extrapulmonary Effects of Prolonged Prone Positioning in a Porcine Model of Acute Respiratory Distress Syndrome.Shock (Augusta, Ga.) · 2025Article
- Provision of Enteral Nutrition in a Critically Ill Patient Requiring Multiple Prone Ventilation Sessions.Cureus · 2025Article
- Nine Myths about Enteral Feeding in Critically Ill Adults: An Expert Perspective.Advances in nutrition (Bethesda, Md.) · 2025Review
- Effectiveness and tolerance of enteral nutrition in critically ill patients with COVID-19.The British journal of nutrition · 2024Article
- Nutritional management in critically ill patients with COVID-19: a retrospective multicentre study.Anaesthesiology intensive therapy · 2024Observational
- Feeding Intolerance in Critically Ill Patients with Enteral Nutrition: A Meta-Analysis and Systematic Review.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2024Review
- Innovative strategy to improve enteral nutrition in prone positioning with patients with COVID-19.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2023Article
- Medical Nutrition Therapy in Critically Ill Patients with COVID-19-A Single-Center Observational Study.Nutrients · 2023Observational
- Tolerance of enteral nutrition during prone therapy in a COVID-19 cohort.Intensive & critical care nursing · 2023Article
- Enteral Nutrition Safety and Outcomes of Patients with COVID-19 on Continuous Infusion of Neuromuscular Blockers: A Retrospective Study.Journal of nutrition and metabolism · 2023Article
- Administration of enteral nutrition and gastrointestinal complications in Covid-19 critical patients in prone position.Clinical nutrition open science · 2022Article
- Barriers to nutrition therapy in the critically ill patient with COVID-19.JPEN. Journal of parenteral and enteral nutrition · 2022Article
- Muscle strength and functional outcome after prone positioning in COVID-19 ICU survivors.Intensive & critical care nursing · 2022Article
- Short and long-term complications due to standard and extended prone position cycles in CoViD-19 patients.Intensive & critical care nursing · 2022Article
- Prevention of Hospital-Acquired Pressure Injury in COVID-19 Patients in the Prone Position.Intensive & critical care nursing · 2022Article
- Avoiding complications during prone position ventilation.Intensive & critical care nursing · 2021Article
- Article
Corrections and comments
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Authors and funding
12 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly enteral nutrition (EN) and prone position may both improve the outcome of patients affected by moderate to severe Acute Respiratory Distress Syndrome. Recent guidelines suggest to administer early EN also during prone position. However, EN intolerance, such as high residual gastric volumes, regurgitation or vomiting, may occur during pronation.
aimThis systematic review aims to assess the occurrence of high residual gastric volume, regurgitation or vomiting episodes, that can be encountered in patients receiving EN during prone position.
methodsWe have conducted a systematic review. We queried three scientific databases (MEDLINE, EMBASE and CINAHL) from inception until November 19, 2019 without language restrictions, using keywords and related MeSH terms. All relevant articles enrolling adult patients receiving invasive mechanical ventilation and evaluating the use of early EN during prone position were included.
resultsFrom 111 records obtained, we included six studies. All studies but one reported no differences with respect to gastric residual volumes between supine and prone positions. A 24-hours EN administration protocol seems to be better, as compared to an 18-hours feeding protocol. The need to stop EN and vomiting episodes were higher during prone position, although the rate of high gastric volume was similar between supine and prone positions. Ventilator associated pneumonia, lengths of stay and mortalities were similar between supine and prone positions. Only one study reported lower mortality in patients receiving EN throughout the entire day, as compared to an 18-hours administration protocol.
conclusionProtocols should be followed by healthcare providers in order to increase the enteral feeding volume, while avoiding EN intolerance (such as EN stops, high residual volume, regurgitation and vomiting).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.