What position should the head of the bed be for enteral feedings?

• A. 0-15 degrees
• B. 30-45 degrees
• C. 60-75 degrees
• D. 90 degrees

Answer: (B)

Elevating the head of the bed during enteral feedings helps protect the airway by using gravity to keep stomach contents from refluxing into the esophagus and potentially entering the trachea. The recommended range is 30-45 degrees because it provides enough elevation to reduce aspiration risk without causing unnecessary discomfort or issues with feeding flow. A near-flat position (0-15 degrees) increases the chance of reflux reaching the airway, while very upright positions (60-75 or 90 degrees) aren’t needed for most feedings and can be impractical or uncomfortable for the patient. Maintaining this elevation during the feeding and for about an hour afterward further minimizes aspiration risk.